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EMR 2016: The Market for Electronic Medical Records

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SKU: KLI5971507 Categories: Healthcare Information Technology, Healthcare Market Research Pages: 499
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Description

EMR 2016: The Market for Electronic Medical Records

EMR 2016 examines the marketplace and trends affecting electronic medical record (EMR) software and related services. This 499-page contains statistics influencing the business, demographics, life expectancy, and competitor strategies. This total market analysis includes EMR revenue analysis, 2013-2020; revenue share (%) of EMR companies, 2015; hospital EMR revenue estimates: 2013-2020; physician/Web-based EMR revenue estimates: 2013-2020; and sales and market share of EMR manufacturers, 2015.

This market review also features EMR revenue analysis for 2015-2020 for the United States, United Kingdom, Germany, France, Spain, and other countries. The report discusses the primary issues and trends affecting the EMR marketplace. Allscripts, Cerner, Epic, GE Healthcare, and McKesson are among the competitors analyzed in-depth. Kalorama provides sales information for EMR/EHR systems, CPOE systems, and directly related services such as installation, training, servicing, and consulting; PACS or hardware are not included.

Table of Contents

ONE: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

TWO: INDUSTRY OVERVIEW

Introduction

The Medical Record

The Electronic Medical Record

Industry Terminology

Industry Structure

Physician-based/Ambulatory EMR Services

Age-based and Practice Distribution of Office-based Physician EMR

Adoption

Physician EMR Adoption by Region (US)

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

Hospitals

United States

Canada

Ambulatory

THREE: EMERGING TRENDS

Meaningful Use

Modified Stage 2

Economic Stimulus Package

Stimulus Guarantee

Information Overload

Patient Access – Blue Button Technology

Vendor Switches

Merit Based Incentive Payment System

Virtualization Technology

Storage Area Networks

Interoperability

Types of Interoperability

Dimensions of Interoperability

Benefits

CommonWell Alliance

Sequoia Project

Argonaut Project

The InteroperabilityPledge

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

Healthcare Cybersecurity

Security Breaches/Portable Devices

Ransomware

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

Differences in Access to PHR

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

Certifications 2010

Certifications in 2011

Certifications in 2012

Certifications in 2013

Certifications in 2014

Certifications in 2015

NHIN (eHealth Exchange)

Direct Pay-Per-Click (PPC) Offerings

Global Healthcare Spending Trends

Europe

Asia Pacific

The US Market

FOUR: MARKET PARTICIPANTS

4Medica

Company Overview

AdvancedMD

Company Overview

ALERT LIFE SCIENCES COMPUTING S.A

Company Overview

Products and Services

Allmeds

Company Overview

Allscripts Healthcare Solutions

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

Growth Strategy

Amazing Charts LLC

Company Overview

Aprima Medical Software, Inc

Company Overview

Key Acquisitions, Alliances and Partnerships

Products and Services

Key Competitors

Growth Strategy

athenahealth, Inc.

Company Overview

Performance Review

Key Acquisitions, Alliances and Partnerships

Products and Services

Key Competitors

Growth Strategy

BizMatics, Inc.

Company Overview

Cambio Healthcare Systems

Company Overview

Products and Services

Growth Strategy

CARECLOUD

Company Overview

Cerner Corporation

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

Growth Strategy

ChartLogic

Company Overview

COMPUGROUP MEDICAL AG

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Service

Growth Strategy

Computer Programs and Systems, Inc.

Company Overview

Performance Review

Products and Services

Key Competitors

Growth Strategy

CSC

Company Overview

CureMD

Company Overview

Dr First/Rcop

Company Overview

eClinicalWorks

Company Overview

Performance Review

Products and Services

Key Competitors

Growth Strategy

EGTON MEDICAL INFORMATION SYSTEMS LIMITED (NOW EMIS HEALTH)

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Service

Growth Strategy

e-MDs

Company Overview

Epic Systems Corporation

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

Growth Strategy

GE Healthcare

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

Growth Strategy

Greenway Health, LLC

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

HealthFusion, Inc

Company Overview

Healthland

Company Overview

Henry Schein

Company Overview

IMS MAXIMS

Company Overview

Products and Services

INTERSYSTEMS CORPORATION

Company Overview

KAREO

Company Overview

McKesson Corporation

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Service

Key Competitors

Growth Strategy

Medent Community Computer Service, Inc

Company Overview

MEDHOST

Company Overview

Meditab Software Inc

Company Overview

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

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

Growth Strategy

Medsphere Systems Corporation

Company Overview

Microtest Ltd.

Company Overview

Products and Services

Nextech

Company Overview

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 Corporation

Company Overview

Performance Review

Key Acquisitions, Alliances and Partnerships

Products and Services

Key Competitors

Growth Strategy

NOEMALIFE S.P. A.

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Growth Strategy

Nuesoft Technologies Inc

Company Overview

Practice Fusion

Company Overview

Key Acquisitions, Alliances and Partnerships

Products and Services

Key Competitors

Growth Strategy

PRAXIS

Company Overview

Quadramed Corporation

Company Overview

Key Acquisitions, Alliances and Partnerships

Products and Services

Key Competitors

Growth Strategy

Quality Systems, Inc.

Company Overview

Performance Review

Key Acquisitions, Alliances and Partnerships

Products and Services

Key Competitors

Growth Strategy

Quest Diagnostics, Inc

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Key Competitors

Growth Strategy

SAP AG

Company Overview

Performance Review

Key Acquisitions, Alliances, and Partnerships

Products and Services

Growth Strategy

Sequel Systems, Inc

Company Overview

Streamline MD

Company Overview

Tieto

Company Overview

Performance Review

Products and Services

Growth Strategy

WebPT

Company Overview

WRS Health (Waiting Room Solutions)

Company Overview

FIVE: MARKET ANALYSIS

Market Overview

Market by Region

United States

EMEA

United Kingdom

Germany

France

Spain

Nordic Countries

Middle East

Africa

Others

APAC

Japan

China

India

Australia

Others

Rest of World

Brazil

Canada

Others

Market by Segment

Hospital

Physician/Web-based

Market Segment by Type

Competitive Analysis

Hospitals and Health System Technology Providers

Practice Management System (PMS) Acquirers

Pharmacy Services Providers

Other Entities

Large Practices (20+ Practitioners)

Small Practitioners (1-20 Practitioners)

Web-based Users

Meaningful Use Attestations

Inpatient

Ambulatory

Market Leaders

Hospital

Physician Office

SIX: CONCLUSIONS

Overview

One: Physician Practices Still High Growth Area

Two: Role of Meaningful Use

Three: No Clear Market Leadership

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: Moving Beyond the “Stick”

Ten: Role of CPOE and Other Features

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

Seventeen: Move by ONC for more Transparency and Accountability

Eighteen: Paradigm Shift in Expectations

Nineteen: Mobile Health Systems

APPENDIX I: DEFINITION OF INDUSTRY PRODUCTS

APPENDIX II: LIST OF SELECT MAJOR COMPANIES

Table of Figures

CHAPTER ONE: EXECUTIVE SUMMARY

Figure 1-1: Percentage Physician EMR Usage, 2006-2015

Figure 1-2: EMR Market Analysis, 2013-2020

Figure 1-3: Market Share (%) of EMR Providers, 2015

CHAPTER TWO: INDUSTRY OVERVIEW

Table 2-1: Terminology Comparison Matrix (Electronic Medical Record, Electronic

Health Record, Personal Health Record)

Table 2-2: Physician Adoption of EMRs, 2006-2015 (Basic System and Fully

Functional System)

Figure 2-1: Overall Physician Adoption of EMRs, 2007-2015

Table 2-3: State Percentage Distribution of Office-based Physicians Using EMR (US)

by State, 2013-2015 (# In EMR Incentive Program, Any Use of EMR, Basic System,

Fully Functional EMR)

Table 2-4: Percentage Distribution of Office-based Physicians Using EMR by Age and Practice Characteristics (US, 2012) (Physician Specialty Type, Practice Ownership, Physician Age)

Table 2-5: Physician Usage by US Region (2012-2015) (North, South, West, East)

Table 2-6: Percentage of Office-based Physicians with Certified EMR by State,2014

Table 2-7: State Percentage Distribution of Non-federal Acute Care Hospitals Using EMR (US) by State, 2015

Table 2-8: Average Total Cost for a Three-Physician Practice for EMR/PMS Installations (2013-2014)

Table 2-9: Total Cost Range for EMR/PMS Installations (2013-2014)

Table 2-10: Estimated Two-Year Total Cost for EMR/PMS Installations/Subscriptions, 2010-2015, Selected Products

Table 2-11: US EMR Hospital Adoption Model, 2015

Table 2-12: Canada EMR Hospital Adoption Model, 2015

Table 2-13: US Ambulatory EMR Adoption Model, 2015

Table 2-14: Ownership vs. Non-ownership Adoption Rates, 2012-2015

Table 2-15: Doctors Office Adoption Rates, 2011-2015 (1 physician, 2 physicians, 3-5 physicians, 6-10 physicians, 11-25 physicians, 26 or more)

CHAPTER THREE: EMERGING TRENDS

Table 3-1: Attestation Details through November, 2015

Table 3-2: Modified Stage of Meaningful Use, 2015-2017

Table 3-3: Medicare EHR Incentive Payment Schedule

Table 3-4: Medicaid EHR Incentive Payment Schedule

Table 3-5: Three Types of Interoperability

Figure 3-1: Global Healthcare Cloud Market, 2010-2020

Table 3-6: Mergers and Acquisitions

Table 3-7: Number of Health Information Exchanges (HIEs) in 2011 and 2012 by Top States

Table 3-8: HIE Grants by State

Table 3-9: 2015 Listing of Regional Extension Centers

Table 3-10: 2015 Data Breaches

Table 3-11: Cost of Implementing ICD-10, 2008 and 2014 (Typical Small Practice,Typical Medium Practice, Typical Large Practice)

Table 3-12: Top Accountable Care Organizations, 2015

Table 3-13: Top 5 Most Widely Used Physician EHRs, 2012, 2014

Table 3-14: Top Rated Physician EHRs Overall 2012, 2014

Table 3-15: Physician Satisfaction with EHR Vendor

Table 3-16: Switch or Keep EHR, 2014

Table 3-17: Privacy Concerns, 2014

Table 3-18: Meaningful Use Survey, 2014

Figure 3-2: Type of EHR System by Practice Size, 1-9 Physicians (Web-based,Installed, Don’t Know)

Figure 3-3: Type of EHR System by Practice Size, 10-24 Physicians (Web-based,Installed, Don’t Know)

Figure 3-4: Type of EHR System by Practice Size, 25+ Physicians (Web-based,Installed, Don’t Know)

Table 3-19: Cost per Physician to Purchase and Install EMR, 2014 (Under $10,000;$10,000-$34,999; $35,000-$49,999; Over $50,000; Don’t Know)

Table 3-20: Monthly Fees per Physician Web-based System (Under $300, $300-$499,

$500-$700, Over $700, Don’t Know)

Table 3-21: 2013 Black Book Ratings for Ambulatory Care Practices (Solo Practice,2-5 Group, 6-10 Group, 11-25 Group)

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, 2015 (1-3, 4- 10, 11- 25, 26-40, 41+, Overall)

Table 3-25: Adoption by Selected Practice Specialties, 2015

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 (East, New England, Midwest, South,West)

Table 3-29: Cost Break-up for a Typical One-Physician Practice (5-year period)

Figure 3-5: Distribution of Cumulative Savings

Table 3-30: EHR Incentive Select Program Payments, 2012-2015

Table 3-31: Percent of Physicians e-Prescribing Using HER, 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: Select Ambulatory EMR Certified Products, 2015

Table 3-42: EU Healthcare Expenditure as % of GDP by Top Countries (Norway,Switzerland, Netherlands, Austria, Belgium, Luxembourg, Denmark, Germany)

Figure 3-6: By Sector Contribution to the US GDP (2012) (Energy, Clothing,Automotive, Defense, Food, Housing, Medical care)

Figure 3-7: The US Healthcare Spending (2009-2020)

CHAPTER FOUR: MARKET PARTICIPANTS

Table 4-1: EMR Mergers and Acquisitions, 2010-2015

Table 4-2: Selected Black Book Ratings

Figure 4-1: Allscripts Healthcare Solutions Revenues, 2013-2015

Figure 4-2: athenahealth Revenues, 2013-2015

Figure 4-3: Cerner Revenues, 2013-2015

Figure 4-4: CompuGroup Revenues, 2013-2015

Figure 4-5: CPSI Revenues, 2013-2015

Figure 4-6: eClinicalWorks Estimated Revenues, 2013-2015

Figure 4-7: EMIS Group Revenues, 2013-2015

Figure 4-8: Epic (estimated) Revenues, 2013-2015

Figure 4-9: GE Healthcare IT Applications Revenues, 2013-2015

Figure 4-10: Greenway Revenues, 2013-2015

Figure 4-11: McKesson Revenues, 2013-2015

Figure 4-12: MEDITECH Revenues, 2013-2015

Figure 4-13: NextGen Revenues, 2013-2015

Figure 4-14: Nightingale Infomatix Revenues, 2013-2015

Figure 4-15: NoemaLife Revenues, 2013-2015

Figure 4-16: QSI Revenues, 2013-2015

Figure 4-17: Quest Diagnostics Revenues, 2013-2015

Figure 4-18: SAP Revenues, 2013-2015

Figure 4-19: Tieto Revenues, 2013-2015

CHAPTER FIVE: MARKET ANALYSIS

Table 5-1: EMR Market Analysis, 2013-2015

Table 5-2: Forecasted EMR Market Analysis: 2016-2020

Figure 5-1: EMR Market Analysis, 2013-2020

Table 5-3: United States EMR Market Analysis, 2015-2020

Table 5-4: EMEA EMR Market Analysis, 2015-2020

Table 5-5: United Kingdom EMR Market Analysis, 2015-2020

Table 5-6: Germany EMR Market Analysis, 2015-2020

Table 5-7: France EMR Market Analysis, 2015-2020

Table 5-8: Spain EMR Market Analysis, 2015-2020

Table 5-9: Nordic Countries EMR Market Analysis, 2015-2020

Table 5-10: Middle East EMR Market Analysis, 2015-2020

Table 5-11: Africa EMR Market Analysis, 2015-2020

Table 5-12: Other EMEA EMR Market Analysis, 2015-2020

Table 5-13: APAC EMR Market Analysis, 2015-2020

Table 5-14: Japan EMR Market Analysis, 2015-2020

Table 5-15: China EMR Market Analysis, 2015-2020

Table 5-16: India EMR Market Analysis, 2015-2020

Table 5-17: Australia EMR Market Analysis, 2015-2020

Table 5-18: Other APAC EMR Market Analysis, 2015-2020

Table 5-19: Rest of World EMR Market Analysis, 2015-2020

Table 5-20: Brazil EMR Market Analysis, 2015-2020

Table 5-21: Canada EMR Market Analysis, 2015-2020

Table 5-22: Other Rest of World EMR Market Analysis, 2015-2020

Table 5-23: Hospital EMR Market Analysis, 2013-2015

Table 5-24: Forecasted Hospital EMR Market Analysis: 2016-2020

Figure 5-2: Hospital EMR Market Analysis: 2013-2020

Table 5-25: Physician/Web-based EMR Market Analysis, 2013-2015

Table 5-26: Forecasted Physician/Web-based EMR Market Analysis: 2016-2020

Figure 5-3: Physician/Web-based EMR Market Analysis: 2013-2020

Figure 5-4: EMR Market Breakdown, Physician/Web vs. Hospital, 2015

Figure 5-5: EMR Market Breakdown, Physician/Web vs. Hospital, 2020

Figure 5-6: EMR Breakdown by Type, 2015 (Services, Hardware, Software)

Table 5-27: Notable Companies by Healthcare Specialty Area, 2015

Table 5-28: 20 Top Vendor by State’s Meaningful Use Attestations

Table 5-29: Revenues and Market Share of EMR Providers, 2015

Figure 5-7: Percent Market Share of EMR Providers, 2015

 

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