EMR 2019

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
  • Table Total Worldwide Market for EMR Technologies Revenues, 2016-2023
• Key Issues and Trends Affecting the Market
• Competitive Outlook
• Conclusion Highlights

Introduction and Overview

• Overview
• The Medical Record
• The Electronic Medical Record
• Industry Terminology
  • Table Terminology Comparison Matrix
• Industry Structure
  • Physician-based/Ambulatory EMR Services
    • Table Physician Adoption of EMRs 2006-2018, Basic System and Fully Functional System
    • Table Percentage of Physicians Reporting Fully Functional EMR, 2018
  • Age-based and Practice Distribution of Office-based Physician EMR Adoption
    • Table Percentage Distribution of Office-based Physicians Using EMR by Age and Practice Characteristics (US)
    • Table Percentage of Office-based Physicians with Certified EMR by State
  • Hospital-based EMR Services
    • Table State Percentage Distribution of Non-Federal Acute Care Hospitals Using EMR (US) by State
• 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
    • Table Average Total Cost for a Three-Physician Practice for EMR/PMS Installations
    • Table Total Cost Range for EMR/PMS Installations
  • US EMR Adoption Model
    • Table U.S. EMRAM Adoption Stages 2014-2018
    • Table New EMRAM Criteria Update 2018
    • Table Canada EMR Hospital Adoption Model 2017
    • Table US Ambulatory EMR Adoption Model 2018
    • Table Doctors Office Adoption Rates 2013-2018 (%)

Emerging Trends

• Patient Engagement/Patient-Centered Healthcare
  • Table Percent of Individuals Who Were Offered Access to Their Medical Record Online, 2018
• Meaningful Use
  • Table Attestation Details
  • Modified Stage 2
    • Table Modified Stage of Meaningful Use 2015-2019 and beyond
• Economic Stimulus Package
  • Table Medicare EHR Incentive Payment Schedule
  • Table Medicaid EHR Incentive Payment Schedule (thousands $)
• Stimulus Guarantee
• Information Overload
• Patient Access – Blue Button Initiative
• Vendor Switches
• Blockchain
• Healthcare Analytics
  • Table Selected Healthcare Analytics Providers
• Medical Access and CHIP Reauthorization Act (MACRA)
  • Merit Based Incentive Payment System
  • Alternative Payment Models (APM)
  • Vendor Readiness
• Virtualization Technology
• Storage Area Networks
• Interoperability
  • Types of Interoperability
    • Table Three Types of Interoperability
  • Dimensions of Interoperability
  • Benefits
  • CommonWell Alliance
  • Sequoia Project
  • The Interoperability Pledge
  • Information Blocking
• FHIR
  • Argonaut Project
  • 21st Century Cures Act and Trusted Exchange Framework
• Cloud Computing
  • Types of Clouds
• Artificial Intelligence and Healthcare
• Big Tech Invasion
  • Amazon
  • Apple
  • Goggle
  • Facebook
  • Microsoft
• Interoperable Devices
• BYOD Accelerates
• Dashboard Models
• Big Data
• Internet of Health Things
• ONC Interoperability Guidelines Draft Framework
• Mergers and Acquisitions
  • Table Select Mergers and Acquisitions
  • Consolidation Pros and Cons
• UnitedHealth Debuts EHR
• Professional Sports Organizations Using EMRs
• Stark Law
• Discreet Recordable Transcription
• Regional Extension Centers
  • Table 2017 List of Regional Extension Centers
• Patient Matching
• Personnel Issues
• Healthcare Cybersecurity
• Security Breaches/Portable Devices
  • Table 2018 Data Breaches
• Ransomware
• Fraud and Security Surveillance Increases
• Medical Device Connectivity Market in EMR
  • Table Ways to Improve Connectivity of Medical Devices
  • Drivers
  • Restraints
  • Market Revenues and Competitors
    • Table Market Size and Growth for Medical Device Connectivity Market, 2018-2023 ($millions)
• Mobile Health and Apps
  • EpicCare Mobile Apps: Haiku and Canto and Limerick
  • Allscripts Mobile App: TouchWorks Mobile
  • Cerner Mobile App: PowerChart Touch
• Network for Doctors
• Physician Position and Usability
  • Burnout
• Accountable Care Organizations
  • Table Top Accountable Care Organizations 2018
• The Personal Health Record System
  • Differences in Access to PHR
• Smart Cards Technology
• Wireless Technologies
• Open Source EMR Applications
  • Benefits of Open Source EMR Applications
    • Table Select Free and/or Open Source EMR Products
  • Open Source EHR Alliance
• Adoption Issues
  • Table Physician Office National Level Adoption by Vendor 2018
  • Table Regional Physician Adoption by Vendor
• Usability and Adoption
• Quality of Care/Malpractice
• Cost-Benefit Analysis
  • ROI for a Typical Physician Practice
  • EHR Incentive Program
    • Table EHR Incentive Select Program Payments 2014-2018 ($)
  • Implementation Costs and ROI for Hospitals
  • Summary
• Privacy Issues
• EMR Patient Safety Issues
• Technology Limitations
• Social and Organizational Barriers
• E-Prescribing
• CCHIT
  • Certifications 2010
    • Table EMR/EHR Certifications 2010
  • Certifications in 2011
    • Table EMR/EHR Certifications 2011
  • Certifications in 2012
    • Table System Certifications in 2012
  • Certifications in 2013
    • Table Select Ambulatory EMR Certified Products 2013
  • Certifications in 2014
    • Table Select EMR Certified Products 2014
    • Table Select Ambulatory EMR Certified Products 2014
  • Certifications in 2015
    • Table Select Ambulatory EMR Certified Products 2015
  • Certifications in 2016
    • Table Select EHR Certifications 2016
  • Certifications in 2017
    • Table Select EHR Certifications 2017
  • Certifications in 2018
    • Table Select EHR Certifications 2018
• NHIN (eHealth Exchange)
• Global Healthcare Spending Trends
  • Europe
    • Table EU Healthcare Expenditures as Percent of GDP by Select Countries, 2018
  • Asia Pacific
  • The US Market

Market Participants

• Table EMR Mergers and Acquisitions
• 4Medica
  • Table 4Medica Corporate Summary
  • Company Overview
• AdvancedMD
  • Table AdvancedMD Corporate Summary
  • Company Overview
• Alert Life Sciences Computing S.A.
  • Table Alert Life Sciences Computing S.A. Corporate Summary
  • Company Overview
• AllMeds
  • Table AllMeds Corporate Summary
  • Company Overview
• Allscripts Healthcare Solutions
  • Table Allscripts Healthcare Solutions Corporate Summary
  • Company Overview
  • Company Financials
    • Table Allscripts (2015-2018) ($ millions)
• Amazing Charts
  • Table Amazing Charts Corporate Summary
  • Company Overview
• Aprima Medical Software, Inc
  • Table Aprima Medical Software, Inc. Corporate Summary
  • Company Overview
• athenahealth, Inc
  • Table athenahealth, Inc. Corporate Summary
  • Company Overview
  • Company Financials
    • Table athenahealth Revenue (2015-2018) ($ millions)
• Bernoulli Enterprise, Inc
  • Table Bernoulli Enterprise Inc Corporate Summary
  • Company Overview
• Bizmatics, Inc.
  • Table Bizmatics, Inc Corporate Summary
  • Company Overview
• Cambio Healthcare Systems
  • Table Cambio Healthcare Systems Corporate Summary
  • Company Overview
• CareCloud
  • Table CareCloud Corporate Summary
  • Company Overview
• Cerner Corporation
  • Table Cerner Corporation Corporate Summary
  • Company Overview
  • Company Financials
    • Table Cerner Revenue (2015-2018) ($ millions)
• Change Healthcare
  • Table Change Healthcare Corporate Summary
  • Company Overview
• ChartLogic, Inc
  • Table ChartLogic, Inc. Corporate Summary
  • Company Overview
• CompuGroup Medical SE
  • Table CompuGroup Medical SE Corporate Summary
  • Company Overview
  • Company Financials
    • Table CompuGroup Revenue (2015-2018) ($ millions)
• Computer Programs and Systems, Inc
  • Table Computer Programs and Systems, Inc. Corporate Summary
  • Company Overview
  • Company Financials
    • Table CPSI Revenue (2015-2018) ($ millions)
• Computer Sciences Corporation (CSC)
  • Table CSC Corporate Summary
  • Company Overview
  • Company Financials
    • Table CSC Revenue (2015-2018) ($ millions)
• CureMD
  • Table CureMD Corporate Summary
  • Company Overview
• Dedalus Healthcare Group
  • Table Dedalus Healthcare Group Corporate Summary
  • Company Overview
• Dr First/Rcop
  • Table Dr First/ Rcop Corporate Summary
  • Company Overview
• eClinicalWorks
  • Table eClinicalWorks Corporate Summary
  • Company Overview
  • Company Financials
    • Table eClinicalWorks Estimated Revenue (2015-2018) ($ millions)
• e-MDs
  • Table e-MDs Corporate Summary
  • Company Overview
• EMIS Health
  • Table EMIS Corporate Summary
  • Company Overview
  • Performance Review
    • Table EMIS Estimated Revenue (2015-2018) ($ millions)
• Epic Systems Corporation
  • Table Epic Systems Corporation Corporate Summary
  • Company Overview
  • Company Financials
    • Table EPIC Systems Corporation Estimated Revenue (2015-2018) ($ millions)
• GE Healthcare (Virence Health)
  • Table GE Healthcare Corporate Summary
  • Company Overview
  • Company Financials
    • Table GE Healthcare Revenue (2015-2018) ($ millions)
• Greenway Health, LLC
  • Table Greenway Health Corporate Summary
  • Company Overview
• Henry Schein MicroMD
  • Table Henry Schein MicroMD Corporate Summary
  • Company Overview
• IBM Healthcare
  • Table IBM Healthcare Corporate Summary
  • Company Overview
• IMS MAXIMS
  • Table IMS MAXIMS Corporate Summary
  • Company Overview
• InterSystems Corporation
  • Table InterSystems Corporate Summary
  • Company Overview
• Kareo
  • Table Kareo Corporate Summary
  • Company Overview
• Koninklijke Philips N.V. (Philips Group)
  • Table Koninklijke Philips Corporate Summary
  • Company Overview
  • Company Financials
    • Table Philips Group Revenue (2015-2018) ($ millions)
• Kronos Incorporated
  • Table Kronos Corporate Summary
  • Company Overview
• McKesson Corporation
  • Table McKesson Corporate Summary
  • Company Overview
  • Company Financials
    • Table McKesson Revenue (2015-2018) ($ millions)
• Medent Community Computer Service, Inc.
  • Table Medent Community Computer Service Corporate Summary
  • Company Overview
• MEDHOST
  • Table MEDHOST Corporate Summary
  • Company Overview
• Medical Information Technology, Inc (MEDITECH)
  • Table MEDITECH Corporate Summary
  • Company Overview
  • Company Financials
    • Table MEDITECH Revenue (2015-2018) ($ millions)
• Meditab Software, Inc
  • Table Meditab Software Corporate Summary
  • Company Overview
• Medsphere Systems Corporation
  • Table Medsphere Systems Corporate Summary
  • Company Overview
• Microtest Ltd.
  • Table Microtest Corporate Summary
  • Company Overview
• Nextech Medical
  • Table Nextech Medical Corporate Summary
  • Company Overview
• NextGen Healthcare Information Systems
  • Table NextGen Healthcare Corporate Summary
  • Company Overview
  • Company Financials
    • Table NextGen Healthcare/ Quality Systems Inc (2015-2018) ($ millions)
• Nuesoft Technologies, Inc
  • Table Nuesoft Corporate Summary
  • Company Overview
• Practice Fusion
  • Table Practice Fusion Corporate Summary
  • Company Overview
• Praxis
  • Table Praxis Corporate Summary
  • Company Overview
• Qualcomm Life, Inc
  • Table Qualcomm Life Corporate Summary
  • Company Overview
• Quality Systems, Inc (renamed NextGen Healthcare)
  • Table Quality Systems Corporate Summary
  • Company Overview
  • Company Financials
    • Table Quality Systems Inc (2015-2018) ($ millions)
• Quest Diagnostics, Inc.
  • Table Quest Diagnostics Corporate Summary
  • Company Overview
  • Company Financials
    • Table Quest Diagnostics (2015-2018) ($ millions)
• SAP SE
  • Table SAP SE Corporate Summary
  • Company Overview
  • Company Financials
    • Table SAP SE (2015-2018) ($ millions)
• SequelMed
  • Table SequelMed Corporate Summary
  • Company Overview
• StreamlineMD
  • Table StreamlineMD Corporate Summary
  • Company Overview
• TELUS Health
  • Table TELUS Health Corporate Summary
  • Company Overview
• Tieto
  • Table Tieto Corporate Summary
  • Company Overview
  • Company Financials
    • Table Tieto (2015-2018) ($ millions)
• Virence Health Technologies
  • Table Virence Health Corporate Summary
  • Company Overview
• WebPT
  • Table WebPT Corporate Summary
  • Company Overview
• Wolters Kluwer
  • Table Wolters Kluwer Corporate Summary
  • Company Overview
  • Company Financials
    • Table Wolters Kluwer (2015-2018) ($ millions)
• WRS Health
  • Table WRS Health Corporate Summary
  • Company Overview

Market Analysis

• Market Overview
  • Table EMR Market Analysis 2016-2023 ($ millions)
• Market by Region
  • United States
    • Table Market Size and Growth for US EMR Market, 2018-2023 ($millions)
  • EMEA
    • Table Market Size and Growth for EMEA EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for UK EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Germany EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for France EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Spain EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Nordic Countries EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Middle East EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Israel EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Africa EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for South Africa EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Other EMEA Countries EMR Market, 2018-2023 ($millions)
  • APAC
    • Table Market Size and Growth for APAC EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Japan EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for China EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for India EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Australia EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Other APAC Countries EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Singapore EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Malaysia EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Taiwan EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Other APAC Countries EMR Market, 2018-2023 ($millions)
  • Rest of World
    • Table Market Size and Growth for Rest of World EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Brazil EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Canada EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Mexico EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Chile EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Costa Rica EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Uruguay EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Guatemala EMR Market, 2018-2023 ($millions)
    • Table Market Size and Growth for Other Countries in ROW EMR Market, 2018-2023 ($millions)
• Market by Segment
  • Hospital
    • Table EMR Global Hospital Market Analysis 2016-2023 ($ millions)
    • Table Hospital EMR Revenues by Region 2018-2023 (in $ millions)
    • Table EMR Large Hospitals vs Small Hospitals by Percent, 2018
  • U.S. Large vs Small Hospital
    • Table US Market Size and Growth for Large Hospital EMR Market, 2018-2023 ($millions)
    • Table US Market Size and Growth for Small Hospital EMR Market, 2018-2023 ($millions)
  • Physician
    • Table Market Size and Growth for Physician EMR Market, 2018-2023 ($millions)
    • Table Physician EMR market by Delivery Mode, 2018 (Onsite Server-based EMR, Cloud-based EMR)
    • Table Hospital vs Physician Breakdown, 2018 (Hospital Market, Physician Market)
    • Table Hospital vs Physician/Web Breakdown, 2023 (Hospital Market, Physician Market)
• Market Segment by Type
  • Table EMR Breakdown by Type, 2018 (Software, Hardware Services)
• Competitive Analysis
  • Hospitals and Health System Technology Providers
  • Small Hospitals 1-200 beds
  • Practice Management System (PMS) Acquirers
  • Pharmacy Services Providers
  • Other Entities
  • Large Practices (20+ Practitioners)
  • Small Practitioners (1-20 Practitioners)
  • Web-based Users
  • Cloud-based EMR Software
  • Meaningful Use Attestations
  • Selected Top Vendors by International Region
  • Market Leaders
    • Table Revenues and Market Share of EMR Providers 2018 (in millions $)
    • Table EMR Top Sixteen Providers Market Share %, 2018
  • Hospital
  • Physician Office

Conclusions

• Overview
• One: Physician Practices Still Growth Area of EMRs
• Two: Meaningful Use Confusion Still Plagues Industry
• Three: No Clear Leader, Opportunity for New Players
• Four: Mergers and Acquisitions
• Five: Interoperability Still a Major Hurdle
• Six: Security Breaches Downside for Industry
• Seven: Usability and Data Entry – an Under the Radar Issue
• Eight: Opportunity for Telecoms
• Nine: Disincentives Drive Market
• Ten: CPOE and Other Features Sell EMR Systems
• Eleven: Technology Moving Faster Than EMR Technology Providers
• Twelve: Data Storage Concerns- Top Focus
• Thirteen: EHRs More Personalized
• Fourteen: Move by ONC For More Transparency and Accountability
• Fifteen: Paradigm Shift in Expectations
• Sixteen: Mobile Health Systems
• Seventeen: Telemedicine
• Eighteen: Artificial Intelligence
• Nineteen: Blockchain
• Twenty: Patient Engagement
• Twenty-one: Healthcare Analytics
• Twenty-two: Tech Giants Invest in Healthcare
• Twenty-three: Patient-Centered Healthcare Priority
• Twenty-four: MIPS Changes
• Twenty-five: Burnout Concerns
• Twenty-six: EMR Patient Safety Issues