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The U.S. Market for EMR Technologies


Publication Date   January 2007
Publisher   Kalorama Information
Product Type   Report
Pages   266
ISBN Number   not applicable
Product Code   KAL102
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Summary


U.S. hospitals, physicians, health systems and other healthcare companies have earmarked monies in their next few years' budgets for the purchase of technologies that will help them improve efficiencies and reduce costs. Electronic Medical Record (EMR) technology will certainly be among their purchases. EMR has proven it can make healthcare workflow more efficient, reduce costs, while at the same time improving the quality of patient care. Given these undisputable benefits, the 1.2 billion-dollar market for EMR is expected to grow nearly 400% in the next eight years, according to our experts.

An EMR is a computer-based patient medical record. It includes data that is present in a patients medical record, such as demographics, medical history, orders progress notes, test results and other relevant information. It can facilitate efficiencies, cooperation within health systems and provisions of services that are not possible with traditional paper-based medical records. Companies that implement them are bound to have an advantage over their competitors who do not. Companies who wish to take advantage of the opportunity this market offers will want EMR Technologies, The U.S. Market , our complete roundup of the US market for EMR technologies. In exhaustive detail, ther publisher has analyzed every aspect of this nascent market.

Among the insights in this report, readers will learn:

  • The Key Players in EMR Including Their Key Executives and Major Clients
  • Major Product Offerings and Pricing Models.
  • Current EMR Revenues and Forecasts to 2015.
  • The Best Area of Growth For EMR
  • Possible Pitfalls EMR Companies Need to Take Note of
  • New Features and Applications Users are Demanding
  • Why Early Entrants Into This Market Will Be Rewarded
  • How HIPPA Will Continue to Drive This Market

EMR technologies can be a difficult marketplace to understand without assistance from qualified analysts. A few market leaders dominate, but there are many small companies and excellent potential for entrants. Product offerings and pricing models vary. Adoption rates vary as health providers implement technology in stages. New applications may change the marketplace. These clear and concise report cuts through these confusing aspects associated with understanding healthcare software systems and provides the important information market-watchers need to know about the US EMR market.

Technologies covered in EMR Technologies, The U.S. Market, include:

  • Laboratory Information Systems (LIS)
  • Radiology Information Systems (RIS)
  • Pharmacy Information Systems (PIS)
  • Computerized Physician Order Entry (CPOE)
  • Picture Archiving and Communication Systems (PACS)
  • Decision Support Systems (DSS)
  • other EMR systems and applications.

The publisher's unique and thorough research process provides an exhaustive analysis of this evolving market. Information was gathered using both primary and secondary research including comprehensive research of secondary sources such as company literature, databases, investment reports, and medical and business journals. For the purpose of this study, Kalorama Information conducted telephone and email interviews with key industry officials, consultants, health care providers, and government personnel. These sources were the primary basis in gathering information specifically relating to revenue and market share data presented in this report. Specific interviews with EMR representatives included marketing directors, division managers, and product development representatives.

In addition to superior coverage of the overall market, ind-depth company profiles are included for the following EMR companies:

  • Cerner
  • McKesson
  • CPSI
  • Epic Systems
  • GE Healthcare
  • MEDITECH
  • QuadraMed
  • Siemens
  • Eclipsys
  • MEDPLUS

Content


  • Chapter 1: Executive Summary
    • 1.1 Healthcare Industry
    • 1.2 Information Technology (IT) in Healthcare
    • 1.3 Definition and Scope of Study
    • 1.4 EMR in Healthcare
    • 1.5 Key EMR Technologies
    • 1.6 Emerging Technologies and Application Areas
    • 1.7 Market Overview
    • 1.8 Competitive Landscape
    • 1.9 End-user Analysis
    • 1.10 Regulatory Environment
    • 1.11 Conclusions and Future Outlook
  • Chapter 2: Introduction
    • 2.1 Healthcare Industry
    • 2.1.1 Overview
    • 2.1.2 Structure of the Healthcare Industry
    • 2.1.3 Trends
    • 2.1.4 Challenges
    • 2.1.5 Market Size
    • 2.2 Information Technology (IT) in Healthcare
    • 2.2.1 Overview
    • 2.2.2 Market Size
    • 2.2.3 Conclusions - The US vs. Europe
    • 2.3 Definition and Scope of Study
  • Chapter 3: Medical Records (Emr)
    • 3.1 Medical Records
    • 3.1.1 Introduction
    • 3.1.2 Current Practices
    • 3.1.3 Transition to Computerization
    • 3.2 Introduction to EMR
    • 3.2.1 Definition
    • 3.2.2 Terminologies Used in the Industry
    • 3.3 Functional Requirements of EMR
    • 3.3.1 Basic Functionalities
    • 3.3.2 Additional Functionalities
    • 3.4 Advantages of EMR
    • 3.5 Limitations of EMR
    • 3.6 Key EMR Technologies
    • 3.6.1 Software Requirements
    • 3.6.2 Hardware Requirements
    • 3.7 Components of an EMR
    • 3.7.1 Overview
    • 3.7.2 Major Components of EMRs
    • 3.8 Emerging Trends
    • 3.8.1 Emerging Technologies
    • 3.8.2 Emerging EMR Application Areas
  • Chapter 4: Market Overview
    • 4.1 Market Definition
    • 4.2 Market Size
    • 4.3 Market Adoption
    • 4.3.1 The EMR Adoption Model
    • 4.3.2 Adoption Scenario
    • 4.3.3 Projected Benefits of EMR Adoption
    • 4.4 Drivers and Inhibitors
    • 4.4.1 EMR Adoption - Drivers
    • 4.4.2 EMR Adoption - Inhibitors
    • 4.5 Implementation Costs and Return on Investments (ROI)
    • 4.5.1 Implementation Costs and ROI for Office-based Physicians
    • 4.5.2 Implementation Costs and ROI for Hospitals
    • 4.5.3 Summary
    • 4.6 Competitive Landscape
    • 4.6.1 Market Segmentation
    • 4.6.2 Market Shares of EMR Vendors
    • 4.6.3 Mergers and Acquisitions (M&As)
    • 4.6.4 Pricing of EMR Solutions
    • 4.6.5 Purchasing, Marketing, and Distributing EMR Products
  • Chapter 5: Demand Side Analysis
    • 5.1 Introduction
    • 5.2 Office-based Physicians
    • 5.2.1 Overview
    • 5.2.2 Case Study
    • 5.3 Hospitals
    • 5.3.1 Overview
    • 5.3.2 Case Study
    • 5.4 Pharmacies
    • 5.4.1 Overview
    • 5.4.2 Pharmaceutical Industry Initiatives
    • 5.4.3 Case Study
    • 5.5 Health Insurance Providers
    • 5.5.1 Overview
    • 5.5.2 Initiatives of the Department of Health and Human Services
    • 5.6 Consumer Preferences and Future Plans
    • 5.6.1 IT Preferences
    • 5.6.2 IT Application Preferences
    • 5.6.3 Technology Adoption Preferences
    • 5.6.4 IT Operating Budget of Healthcare Facilities
  • Chapter 6: Key Regulations And Certifications
    • 6.1 Introduction
    • 6.2 Need For Regulation
    • 6.3 History and Background for Regulations
    • 6.4 Introduction to HIPAA
    • 6.4.1 Privacy Rule
    • 6.4.2 Security Rule
    • 6.4.3 Limitations
    • 6.4.4 HIPAA Penalties
    • 6.5 Code of Federal Regulations (CFR) - Part 11
    • 6.6 Key Certifications
    • 6.6.1 The Certification Commission for Healthcare Information Technology
    • 6.7 Conclusions
  • Chapter 7: Conclusions
    • 7.1 First Conclusion: EMR a Necessity
    • 7.2 Second Conclusion: US is Market Leader
    • 7.3 Third Conclusion: Office-Based Physicians are the Growth Area
    • 7.4 Fourth Conclusion: EMR Costs Will Be Reduced
    • 7.5 Fifth Conclusion: EMR Software is Defined By Applications
    • 7.6 Sixth Conclusion: There is a Large Market For Vendors
    • 7.7 Seventh Conclusion: EMR is a Budget Priority For Healthcare Companies
    • 7.8 Eighth Conclusion: HIPPA to Drive EMR Growth
  • Chapter 8: Company Profiles
    • 8.1 Cerner Corporation
    • 8.1.1 Key Facts
    • 8.1.2 Company Overview
    • 8.1.3 Corporate Partnerships
    • 8.1.4 Geographical Presence and Business Lines
    • 8.1.5 Product Portfolio
    • 8.1.6 Staff Organization
    • 8.1.7 Key Executives
    • 8.1.8 Key Competitors
    • 8.1.9 Performance Review
    • 8.1.10 Company Strategy
    • 8.2 COMPUTER PROGRAMS AND SYSTEMS, INC. (CPSI)
    • 8.2.1 Key Facts
    • 8.2.2 Company Overview
    • 8.2.3 Product Portfolio
    • 8.2.4 Staff Organization
    • 8.2.6 Key Competitors
    • 8.2.7 Performance Review
    • 8.3 Eclipsys Corporation
    • 8.3.1 Key Facts
    • 8.3.2 Company Overview
    • 8.3.3 Corporate Partnerships
    • 8.3.4 Geographical Presence and Business Lines
    • 8.3.5 Product Portfolio
    • 8.3.6 Organization of Business
    • 8.3.7 Key Executives
    • 8.3.8 Key Competitors
    • 8.3.9 Performance Review
    • 8.3.10 Company Strategy
    • 8.4 Epic Systems Corporation
    • 8.4.1 Key Facts
    • 8.4.2 Company Overview
    • 8.4.3 Corporate Partnerships
    • 8.4.4 Product Portfolio
    • 8.4.5 Key Executives
    • 8.4.6 Key Competitors
    • 8.5 GE Healthcare
    • 8.5.1 Key Facts
    • 8.5.2 Company Overview
    • 8.5.3 Geographical Presence and Business Lines
    • 8.5.4 Product Portfolio
    • 8.5.5 Key Executives
    • 8.5.6 Key Competitors
    • 8.5.7 Performance Review
    • 8.6 McKesson Corporation
    • 8.6.1 Key Facts
    • 8.6.2 Company Overview
    • 8.6.3 Corporate Partnerships
    • 8.6.4 Geographical Presence and Business Lines
    • 8.6.5 Product Portfolio
    • 8.6.6 Organization of Businesses
    • 8.6.7 Key Executives
    • 8.6.8 Key Competitors
    • 8.6.9 Performance Review
    • 8.6.10 Company Strategy
    • 8.7 Medical Information Technology, Inc. (MEDITECH)
    • 8.7.1 Key Facts
    • 8.7.2 Company Overview
    • 8.7.3 Corporate Partnerships
    • 8.7.4 Geographic Presence and Business Lines
    • 8.7.5 Product Portfolio
    • 8.7.6 Staff Organization
    • 8.7.7 Key Executives
    • 8.7.8 Key Competitors
    • 8.7.9 Performance Review
    • 8.8 MedPlus
    • 8.8.1 Key Facts
    • 8.8.2 Company Overview
    • 8.8.3 Corporate Partnerships
    • 8.8.4 Business Lines & Product Portfolio
    • 8.8.5 Key Competitors
    • 8.8.6 Key Executives
    • 8.9 Quadramed Corporation
    • 8.9.1 Key Facts
    • 8.9.2 Company Overview
    • 8.9.3 Geographical Presence and Business Lines
    • 8.9.4 Product Portfolio
    • 8.9.5 Staff Organization
    • 8.9.6 Key Executives
    • 8.9.7 Key Competitors
    • 8.9.8 Performance Review
    • 8.10 Siemens Medical Solutions
    • 8.10.1 Key Facts
    • 8.10.2 Company Overview
    • 8.10.3 Geographical Presence and Business Lines
    • 8.10.4 Product Portfolio
    • 8.10.5 Key Executives
    • 8.10.6 Key Competitors
    • 8.10.7 Performance Review
  • List Of Exhibits
  • Chapter 1: Executive Summary
    • Figure 1-1: Market Size for EMR in the US (2003-2015)
    • Table 1-1: Total Implementation Cost for Healthcare systems (US, 2005)
  • Chapter 2: Introduction
    • Figure 2-1: Value Chain of the Healthcare Industry
    • Figure 2-2: Sector-wise Contribution to the US GDP (2005)
    • Figure 2-3: The US Healthcare Spending (2003-2013)
    • Figure 2-4: Government HealthCare Spending as a Share of GDP (2005)
    • Figure 2-5: European Union Spending on HIT (2005-2009)
    • Figure 2-6: Pacific Spending on HIT (2004-2009)
    • Figure 2-7: US Spending on HIT (2002-2008)
  • Chapter 3: Electronic Medical Records
    • Table 3-1: Typical Contents of a Medical Record
    • Figure 3-1: Key Components of an EMR
    • Figure 3-2: Patient Data Flow across the Key Components of an EMR (I)
    • Figure 3-3: Patient Data Flow across the Key Components of an EMR (II)
    • Figure 3-4: Commercialization Chain for a New Technology
    • Figure 3-5: EMR Access through Individualized Smart Cards
    • Table 3-5: Hypothetical Monthly Distribution of the Number of Vaccines Administered
    • Figure 3-65: Hypothetical Monthly Distribution of the Number of Vaccines Administered
  • Chapter 4: Market Overview
    • Figure 4-1: Categorization of the Healthcare Information Technology Domain
    • Figure 4-2: Market Size for EMR in the US (2003-2015)
    • Table 4-1: Stages of EMR Adoption
    • Table 4-2: Adoption of EMR, CPOE, and Radiology PACS (US, 2005)
    • Figure 4-3: Adoption of EMR in Combination with Various Clinical Tools
    • Figure 4-4: Adoption of EMR, CPOE, PACS across Different Types of Healthcare Systems (US, 2005)
    • Table 4-3: Cost Break-up for a Typical One-physician Practice (5-year period)
    • Figure 4-5: Year-wise Distribution of Cumulative Savings
    • Table 4-4: Total Implementation Cost for Healthcare Systems
    • Figure 4-6: Market Segmentation Based on Vendor's Business Strategies
    • Table 4-5: Market Share of Top 10 EMR Vendors (2004-2005)
    • Table 4-6: Mergers and Acquisitions (1999-2005)
    • Table 4-7: Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2005-2008)
    • Table 4-8: Total Cost Range for EMR/PMS Installations (2005)
    • Figure 4 -7: Average Costs for a Typical Three-physician Practice (2005)
    • Table 4-9: Two-year Total Cost for EMR/PMS Installations/Subscriptions
    • Figure 4-8: Purchasing Process Sequence and Responsible Entities
  • Chapter 5: Demand Side Analysis
    • Table 5-1: Age-wise Percentage Distribution of Office-based Physicians Using EMR (US, 2005)
    • Table 5-2: Percentage Distribution of Office-based Physicians Using EMR by Practice Characteristics (US, 2005)
    • Table 5-3: Location Characteristics of Office-based Physicians 2005 (US, 2005)
    • Table 5-4: Percentage of Office-based Physicians Using Select EMR Features (US, 2005)
    • Figure 5-1: Areas where Benefits have been Achieved Post-EMR Implementation
    • Figure 5-2: North Fulton Practice Time Savings (2000)
    • Figure 5-3: North Fulton Practice Cost Savings (2000)
    • Table 5-5: Percentage Installation of Various Clinical Applications in Hospitals (US, 2004)
    • Table 5-6 : Hospitals Automated or Contracted for EMR, CDR, CPOE, LIS, PMS, POC, RIS, and Radiology PACS (US, 2004)
    • Table 5-7: EMR System Implementation Rate across Various Operating Room Environments (US, 2005)
    • Table 5-8: Percentage of Hospital Emergency and Outpatient Departments Using EMR Systems (US, 2002)
    • Table 5-9: Adoption of CPOE Applications and Functions by Pharmacies (US, 2006-2010)
    • Table 5-10: Adoption of e-Prescribing Applications by Commercial/Retail Pharmacies (US, 2006-2010)
    • Table 5-11: EMR, CPOE, PACS Adoption by Hospitals with a Majority or Minority of Medicare Patients (US, 2005)
    • Table 5-12 : EMR, CPOE, PACS Adoption by Hospitals with a Majority or Minority of Medicaid Patients (US, 2005)
    • Figure 5-4: IT Priorities of Healthcare Organizations in the US (2005-2008)
    • Figure 5-5: IT Application Preferences of Healthcare Organizations in the US for the Next Two Years (2005 vs. 2006)
    • Figure 5-6: Status of EMR Implementation in Healthcare Organizations in the US (2004-2006)
    • Figure 5-7: Technology Adoption Preferences of Healthcare Organizations in the US (2005-2006)
    • Figure 5-8: Outlook of Technology Adoption for the Next Two Years (2005 vs. 2006)
    • Figure 5-9: Estimated Change in the IT Operating Budget (2006-2007)
  • Chapter 6: Key Regulations And Certifications
    • Figure 6-1: Formation of Regulations
    • Table 6-1: Vendors and their CCHIT Certified Products
  • Chapter 8: Company Profiles
    • Table 8-1: Corporate Details of Cerner Corporation
    • Table 8-2: Geographical Presence and Business Lines of Cerner Corporation
    • Table 8-3: Key Executives of Cerner Corporation
    • Figure 8-1: Cerner Sales Performance, Geography-wise (2005)
    • Figure 8-2: Cerner Revenue Performance (2001-2005)
    • Figure 8- 3: Breakup Revenue by Service Type (Percentage)
    • Table 8-4: Corporate Details of CPSI
    • Table 8-5: Key Executives of CPSI
    • Figure 8-4: CPSI Hospital Clients (2001-2005)
    • Figure 8-5: CPSI Revenue Performance (2001-2005)
    • Figure 8-6: Category-wise Revenue Performance of CPSI (2005)
    • Table 8-6: Corporate Details of Eclipsys Corporation
    • Table 8-7: Eclipsys Corporation's Business Relationships
    • Table 8-8: Geographical Presence of Eclipsys Corporation
    • Table 8-9: Key Executives of Eclipsys
    • Figure 8-7: Eclipsys Sales Performance 2005 (by geography)
    • Figure 8-8: Eclipsys Revenue Performance (2001-2005)
    • Table 8-10: Corporate Details of EPIC
    • Table 8-11: Corporate Partnerships of Epic Corporation
    • Table 8-12: Key Executives of EPIC SYSTEMS
    • Table 8-13: Corporate Details of GE HEALTHCARE
    • Table 8 - 14: Geographical Presence of GE Healthcare
    • Table 8-15: GE Healthcare Key Executives
    • Figure 8-9: GE Healthcare Revenue Performance (2001-2005)
    • Table 8-16: Corporate Details of McKesson Corporation
    • Table 8-17: Corporate Partners of McKesson Corporation
    • Table 8-18: Geographical Presence and Business Lines; McKesson Corporation
    • Figure 8-10: Business Divisions McKesson Corporation
    • Table 8-19: Key McKesson Corporation Executives
    • Figure 8-11: Breakup of Revenue Business Segment-wise (Percentage)
    • Figure 8-12:Breakup of Revenue Geography-wise (Percentage)
    • Figure 8-13: McKesson Revenue Performance (2002-2006)
    • Table 8-20: Corporate Details of MEDITECH
    • Table 8-21: Geographical Presence of MEDITECH
    • Table 8-22: Software Services Provided by MEDITECH
    • Table 8-22: Software Services Provided by MEDITECH
    • Table 8-23: Key Executives of MEDITECH.
    • Table 8-24: Key Competitors of MEDITECH
    • Figure 8-14: MEDITECH Sales Performance by geography (2002)
    • Figure 8-15: MEDITECH Sales Performance by Geography (2003)
    • Table 8-25: MEDITECH Sales Performance (by category)
    • Figure 8-16: MEDITECH Revenue Performance (2001-2005)
    • Table 8-26: Corporate Details of MEDPLUS
    • Table 8-27: MEDPLUS Corporation's Business Relationships
    • Table 8-28: Key Executives of MEDPLUS
    • Table 8-29: Corporate Details of QUADRAMED
    • Table 8-30: Geographical Presence and Business Lines of QUADRAMED CORPORATION
    • Table 8-31: Key Executives of QUADRAMED
    • Figure 8.17: QUADRAMED Revenue Performance (2001-2005)
    • Table 8-32: Corporate Details of Siemens Medical Solutions
    • Table 8-33: Geographical Presence of Siemens Medical Solutions
    • Table 8-34: Key Executives of Siemens Medic l Solutions