Table of Contents
1: EXECUTIVE SUMMARY
THE EMR MARKET IN AN ERA OF DISRUPTION
EMR Intro
INDUSTRY AT A GLANCE
SCOPE AND METHODOLOGY
PHYSICIANS USE SOME EMR, BUT USAGE LIMITED
HOSPITAL USE OF EMR UPDATE: GAINS IN STAGE 6, LIMITED IN STAGE 7
Stage 7 Gains Limited
EMR MARKET: SIZE AND GROWTH
Revenue Growth Changed From Previous Years
Table 1-1: Total Worldwide Market for EMR Technologies Revenues, 2014-2021
KEY ISSUES AND TRENDS AFFECTING THE MARKET
Trend of Note: Frustrated Physicians
Status of Meaningful Use: Confusion and Possible Change
IT Staff Shortages: A Mandate for More Service
PR Effect of Cyber Breaches Downside for Industry
A MARKET OF MORE THAN 1,000 COMPANIES
CONCLUSION HIGHLIGHTS
2: FAST-MOVING CHANGES: THE ERA OF DISRUPTION IN EMR
OVERVIEW
FRUSTRATED PHYSICIANS AND WARY HOSPITALS
Hospital Vendor Switches Common
Physician Disatisfaction
TRUMP PRESIDENCY: CHANGE LIKELY BUT UNKNOWN
Trump Presidency and EMR
Reasonable expectations
Table 2-1: Potential Trump Presidency Policy or Market Event and Impact on the EMR Market
EMR MARKET TRENDS TO WATCH: BLOCKCHAIN, BYOD, ARTIFICIAL INTELLIGENCE,OPENSOURCE
Blockchain
Watch Open Source EMR Applications
Benefits of Open Source EMR Applications
BYOD Employees Trend Accelerates
RADICAL PRODUCT INNOVATIONS: DASHBOARD MODULES, USABILITY, TABLETS, E-PRESCRIBE, BIG DATA
Usability is a Must
Tablet-Focus Essential for EMR Vendors
CPOE and Other Features Sell EMR Systems
CONSOLIDATING EMR COMPANIES
RANSOMWARE AND OTHER CYBERSECURITY THREATS
Cybersecurity Breaches 2016
Breaches 2015
Breaches 2014
Fraud and Security Surveillance Increases
MACRA UPENDS PHYSICIAN PAYMENTS
Merit Based Incentive Payment System
Alternative Payment Models (APM)
Vendor Readiness
SIGNIFICANT BOTTLENECKS TO FULL EMR USAGE REMAIN
Reliability
Accountability
Patient Privacy
EMR Software
Social and Organizational Barriers
LARGE UNDERSERVED MARKET
Physician Practices: Still Growth Area of EMRs
Opportunity for Telecoms in EMR
PRICING OF EMRS
GLOBAL HEALTHCARE SPENDING TRENDS RELATED TO EHR
Europe
Asia Pacific
The US Market
EMR HISTORY AND OVERVIEW
History
The Medical Record
The Electronic Medical Record
Industry Terminology
EMR and EHR
WHAT IS IN 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
3: BIG ISSUES: MEANINGFUL USE, ADOPTION INTEROPERABILITY, CYBERSECURITY
MEANINGFUL USE
Modified Stage 2
Table 3-1: Attestation Details
Table 3-2: Modified Stage of Meaningful Use 2015-2019 and beyond
ONC INTEROPERABILITY GUIDELINES DRAFT
INTEROPERABILITY
Types of Interoperability
Dimensions of Interoperability
Benefits
CommonWell Alliance
Sequoia Project
The InteroperabilityPledge
Table 3-3: Three Types of Interoperability
Table 3- 4: Physician Office National Level Adoption by Vendor
FHIR
Argonaut Project
ADOPTION ISSUES
PHYSICIAN EMR ADOPTION GROWING, BUT USE IS LIMITED
Age-based and Practice Distribution of Office-based Physician EMR Adoption
Physician EMR Adoption by Region (US)
HOSPITAL ADOPTION: GAINS IN STAGE 6
United States
CANADIAN HOSPITALS LAG
4: MARKET ANALYSIS: MARKET OVERVIEW
EMR 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
Table 4-1 EMR Market Analysis 2014-2021 ($ millions)
Table 4-2: Market Size and Growth for US EMR Market, 2016-2021 ($millions)
Table 4-3 : Market Size and Growth for EMEA EMR Market, 2016-2021 ($millions)
Table 4-4: Market Size and Growth for UK EMR Market, 2016-2021 ($millions)
Table 4-5: Market Size and Growth for Germany EMR Market, 2016-2021 ($millions)
Table 4-6: Market Size and Growth for France EMR Market, 2016-2021 ($millions)
Table 4-7: Market Size and Growth for Spain EMR Market, 2016-2021 ($millions)
Table 4-8: Market Size and Growth for Nordic Countries EMR Market, 2016-2021 ($millions)
Table 4-9: Market Size and Growth for Middle East EMR Market, 2016-2021 ($millions)
Table 4-10: Market Size and Growth for Africa EMR Market, 2016-2021 ($millions)
Table 4-11: Market Size and Growth for Others EMR Market, 2016-2021 ($millions)
Table 4-12: Market Size and Growth for APAC EMR Market, 2016-2021 ($millions)
Table 4-13: Market Size and Growth for Japan EMR Market, 2016-2021 ($millions)
Table 4-14: Market Size and Growth for China EMR Market, 2016-2021 ($millions)
Table 4-15: Market Size and Growth for India EMR Market, 2016-2021 ($millions)
Table 4-16: Market Size and Growth for Australia EMR Market, 2016-2021 ($millions)
Table 4-17: Market Size and Growth for Other APAC Countries EMR Market, 2016-2021 ($millions)
Table 4-18: Market Size and Growth for Rest of World EMR Market, 2016-2021 ($millions)
Table 4-19: Market Size and Growth for Brazil EMR Market, 2016-2021 ($millions)
Table 4-20: Market Size and Growth for Canada EMR Market, 2016-2021 ($millions)
Table 4-21: Market Size and Growth for Other ROW Countries EMR Market, 2016-2021 ($millions)
Table 4-22: Market Size and Growth for Hospital EMR Market, 2016-2021 ($millions)
Table 4-23: Market Size and Growth for Physician/Web-based EMR Market, 2016-2021 ($millions)
EMR MARKET BY END-USER SEGMENT
Hospital
Physician/Web-based
Figure 4-1: Hospital vs Physician/Web Breakdown 2016
Figure 4-2: Hospital vs Physician/Web Breakdown 2021
EMR MARKET SIZE BY SEGMENT
Hardware Segment of EMR Market
Software Segment of EMR Market
Services Segment of EMR Market
Figure 4-3: EMR Breakdown by Type 2016
COMPETITIVE ANALYSIS: 30+ SIGNIFICANT EMR PLAYERS
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
WHO’S WINNING IN EMR: MARKET SHARE
Top 10+ Companies in EMR
Figure 4- 4: EMR Top Six Providers Market Share % 2016
Market Leadership -Hopsital EMR
Market Leadership -Physician Office
5: COMPANY PROFILES
4MEDICA
Company Overview
ADVANCEMD
Company Overview
ALERT LIFE SCIENCES COMPUTING S.A.
Company Overview
ALLMEDS
Company Overview
ALLSCRIPTS HEALTHCARE SOLUTIONS
Company Overview
Company Financials
AMAZING CHARTS, LLC
Company Overview
APRIMA MEDICAL SOFTWARE, INC
Company Overview
ATHENAHEALTH, INC
Company Overview
Company Financials
BIZMATICS, INC.
Company Overview
CAMBIO HEALTHCARE SYSTEMS
Company Overview
CARECLOUD
Company Overview
CERNER CORPORATION
Company Overview
Company Financials
CHARTLOGIC, INC
Company Overview
COMPUGROUP MEDICAL AG
Company Overview
Company Financials
COMPUTER PROGRAMS AND SYSTEMS, INC
Company Overview
Company Financials
COMPUTER SCIENCES CORPORATION (CSC)
Company Overview
Company Financials
CUREMD
Company Overview
DRCHRONO
Company Overview
DR FIRST/RCOP
Company Overview
ECLINICALWORKS
Company Overview
Company Financials
E-MDS
Company Overview
EMIS HEALTH
Company Overview
Company Financials
EPIC SYSTEMS CORPORATION
Company Overview
Company Financials
GE HEALTHCARE
Company Overview
Company Financials
GREENWAY HEALTH, LLC
Company Overview
Company Financials
HEALTHFUSION, INC
Company Overview
HEALTHLAND
Company Overview
HENRY SCHEIN MICROMD
Company Overview
IBM HEALTHCARE
Company Overview
Company Financials
IMS MAXIMS
Company Overview
INTERSYSTEMS CORPORATION
Company Overview
KAREO
Company Overview
KRONOS INCORPORATED
Company Overview
MCKESSON CORPORATION
Company Overview
Company Financials
MEDHOST
Company Overview
MEDITAB SOFTWARE, INC
Company Overview
MEDICAL INFORMATION TECHNOLOGY, INC (MEDITECH)
Company Overview
Company Financials
MEDENT COMMUNITY COMPUTER SERVICE, INC.
Company Overview
MEDSPHERE SYSTEMS CORPORATION
Company Overview
MICROTEST LTD.
Company Overview
NEXTGEN HEALTHCARE INFORMATION SYSTEMS
Company Overview
Company Financials
NEXTECH
Company Overview
NIGHTINGALE INFOMATIX CORPORATION (NOW TELUS HEALTH)
Company Overview
NOEMALIFE S.P.A.
Company Overview
NUESOFT TECHNOLOGIES, INC
Company Overview
PRACTICE FUSION
Company Overview
QUADRAMED CORPORATION
Company Overview
QUALITY SYSTEMS, INC
Company Overview
Company Financials
PRAXIS
Company Overview
QUEST DIAGNOSTICS, INC.
Company Overview
Company Financials
SAP SE
Company Overview
Company Financials
SEQUELMED
Company Overview
STREAMLINE MD
Company Overview
TIETO
Company Overview
Company Financials
WRS HEALTH
Company Overview
WEBPT
Company Overview
