EMR 2013: The Market for Electronic Medical Records

Published: April 2013
No. of Pages: 322
  

Electronic Medical Records (EMR) represents a growing market for a large number of companies, with customer demand, heavy competition and government incentives spurring revenues. 

This Kalorama Information report, EMR 2013, is a look at the market and trends impacting electronic medical record software and related services.  As government policy begins to pivot on incentives in this market, as market share adjusts and new vendors play a larger role, it is an interesting time for market-watchers.  How have the incentives worked?  Have reluctant physicians embraced EMR?  Where does hospital adoption stand?  What is the competitive situation among vendors now?  Is there still opportunity for new entrants?  Kalorama answers these questions and brings clarity to recent market events.

As part of its coverage, the report contains:

  • 2012 Market Estimates for EMR, and Growth since 2010
  • Market Forecast to 2017
  • Market Share of Top Vendors
  • Hospital and Physician EMR Usage Statistics
  • Pricing of Select EMR Systems and ROI for Physicians
  • Overview of EMR, EHR, CPOE and other Functions
  • Impact of Incentives and Disincentives for Paper Submission
  • Breakout of Hospital EMR Market and Physician/Web EMR Market
  • Key Trends in the Industry
  • Profiles of Major Vendors and Smaller Companies to Watch
  • Mergers and Acquisitions
  • Current Vendors with CCHIT Qualification
  • Summary of Third-Party EMR User Survey Results
  • Analyst Conclusions Regarding the EMR Market

The report estimates the size of the market for the EMR hospital and EMR physician markets and reviews usage trends among hospitals and physicians.   It also forecasts the market to 2017.  Included in the report are statistics influencing the 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.

The information for this report 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. Telephone interviews and email correspondence were the primary method of gathering information.

There are several primary issues and trends affecting the electronic medical records (EMR) industry. Demographics, increasing life expectancy, and technology innovation will continue to fuel growth in the future. New developments will also positively influence growth. Issues and trends explored in this study include:

  • Meaningful Use
  • Economic Stimulus Package
  • Stimulus Guarantee
  • Information Overload
  • Patient Access – Blue Button Technology
  • Vendor Switch
  • Virtualization Technology
  • Storage Area Networks
  • Cloud Computing
  • Dashboard Modules
  • Mergers and Acquisitions
  • NFL and EMRs
  • Stark Law
  • Discreet Recordable Transcription
  • Health Information Exchanges
  • Regional Extension Centers
  • Personnel Issues
  • Security Breaches/Portable Devices
  • Tablet Adoption
  • New Network for Doctors
  • National Physician Education Program
  • ICD-10 Controversy
  • Physician Position
  • Accountable Care Organizations
  • Personal Health Record
  • Doctor’s Surveys
  • Interoperability
  • Smart Card Technology
  • Wireless Technology
  • Open Source EMR Applications
  • Adoption Issues
  • Usability and Adoption
  • Quality of Care/Malpractice
  • Cost Benefit Analysis
  • Privacy Issues
  • Technology Limitations
  • E-Prescribing
  • CCHIT
  • NHIN
  • Direct PPC Offerings
  • International Markets and Trends

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 competitors. 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 companies is the cost to enter the market with a certified product.

Several leading market participants are discussed in this report along with unique niche players including:

  • Abraxas
  • ADP Advanced MD
  • Allmeds
  • Allscripts Healthcare Solutions
  • Amazing Charts
  • Aprima Medical Software
  • Athenahealth
  • Bizmatics
  • Cerner
  • ChartLogic
  • Computer Programs & Systems
  • CSC
  • eClinicalWorks
  • Emdeon
  • E-MDs
  • Epic
  • GE Healthcare
  • Greenway Medical
  • Healthland
  • Health Management Systems
  • Henry Schein
  • LLS Data Systems
  • McKesson
  • Medical Information Technology
  • Medent Community Computer Service Inc
  • MEDITECH
  • MedPlus, Inc
  • Medsphere Systems
  • MeridianEMR, Inc
  • NextGen
  • Nightingale Infomatix
  • Practice Fusion
  • QuadraMed Corporation
  • Sequel Systems, Inc
  • Siemens
  • Soapware
  • StreamLine MD
  • SuiteMed
  • Vitera Healthcare Solutions
  • Waiting Room Solutions
  • Web PT

EMR 2013: The Market for Electronic Medical Records

Table of Contents

Chapter One :Executive Summary
Industry at a Glance
Scope and Methodology
Physician Use of EMR
Percentage and Increase of Physician Usage of EMR
Analysis of CDC Physician EMR Use numbers (Basic/Some Use vs. Fully Functional)
Hospital Use of EMR
Size and Growth of the Market
Key Issues and Trends Affecting the Market
Leading Market Participants
Conclusions

Chapter Two: Industry Overview
Introduction
The Medical Record
The Electronic Medical Record
Industry Terminology
Industry Structure
Physician EMR Acceptance by Type (Fully Functional System, Basic System, Have Used EMR, Not Using EMR)
Overall Physician Adoption of EMRs 2006-2012
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
EMR Adoption Rates

Chapter Three: Emerging Trends
Meaningful Use
Economic Stimulus Package
Stimulus Guarantee
Information Overload
Patient Access – Blue Button Technology
Vendor Switches Looming
Virtualization Technology
Storage Area Networks
Cloud Computing
Dashboard modules
Mergers and Acquisitions
NFL Using EMRs
Stark Law
Discreet Recordable Transcription
Health Information Exchange Update
Regional Extension Centers
Personnel Issues
Security Breaches/Portable Devices
Tablet Adoption
New Network for Doctors
National Physician Education Program
ICD-10 controversy
Physician Position and Usability
Accountable Care Organizations
The Personal Health Record System
Doctor Opinion
Interoperability
Dimensions of Interoperability
Benefits
Smart Cards Technology
Wireless Technologies
Open Source EMR Applications
Benefits of Open Source EMR Applications
Adoption Issues
Usability And Adoption
Quality of Care/Malpractice/Security
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
NHIN
Direct Pay-Per-Click (PPC) Offerings
International Markets and Trends
Europe Asia, and Other EMR Markets
The US Market

Chapter Four: Market Participants
Abraxas Medical Solutions
ADP AdvancedMD
Allmeds
Allscripts Healthcare Solutions
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Amazing Charts
Aprima Medical Software, Inc
Company Overview
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy
athenahealth, Inc.
BizMatics
Cerner Corporation
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations
ChartLogic
Computer Programs and Systems, Inc.
Company Overview
Performance Review
Products and Services
Key Competitors
Growth Strategy
Locations
CSC
CureMD
Dr First/Rcop
Dr First/Rcop
eClinicalworks
Company Overview
Performance Review
Figure 4-4
Products and Services
Key Competitors
Growth Strategy
Emdeon
e-MDs
Epic Systems, Inc.
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations
GE Healthcare
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations
Greenway Medical Technologies
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Healthland
Health Management Systems
Henry Schein
Keane (NTT Data)
LLS Data Systems
McKesson Corporation
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Key Competitors
Growth Strategy
Locations
Medical Information Technology, Inc. (MEDITECH, Inc.)
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations
Medent Community Computer Service, Inc
MedPlus, Inc.
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Locations
Medsphere Systems
MeridianEMR, Inc
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
Practice fusion
Company Overview
Performance Review
Private
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy
Quadramed Corporation
Company Overview
Performance Review
Private
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy
Sequel Systems, Inc
Siemens Medical Solutions
Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Service
Key Competitors
Growth Strategy
Locations
SoapWare, Inc
Streamline MD
SuiteMed
Vitera Healthcare Solutions
Waiting Room Solutions
WebPT

Chapter Five: Market Analysis
Market Overview
Market by Segment
Competitive Analysis
Hospitals and Health System Technology Providers
Practice Management System (PMS) Acquirers
Pharmacy Services Providers
Other Entities
Hospital
Physician Office

Chapter Six: 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: Expect More 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
Conclusion Twelve: Technology Moving Faster than EMR Technology Providers 273
Conclusion Thirteen: Data Storage Concerns- Top Focus
Conclusion Fourteen: User Satisfaction On Decline
Conclusion Fifteen: Specialists See Gains

Appendix I: Definition Of Industry Products

Chapter One: Executive Summary
Figure 1-1: Percentage Physician EMR Usage, 2006-2012
Figure 1-2: Analysis of CDC Physician EMR Use Numbers (Basic/Some Use vs. Fully Functional)
Figure 1-3: Hospitals at Stage 3 or higher
Figure 1-4: EMR Market Analysis 2010-2017
Figure 1-5 Revenues and Market Share of EMR Providers

Chapter Two: Industry Overview
Table 2-1: Terminology Comparison Matrix
Table 2-2: Physician Adoption of EMRs 2006-2012 (Basic System and Fully Functional System)
Figure 2-1: Physician EMR Acceptance by Type (Fully Functional System, Basic System, Have Used EMR, Not Using EMR)
Figure 2-2: Overall Physician Adoption of EMRs 2006-2012
Table 2-3: Age-wise Percentage Distribution of Office-based Physicians Using EMR (US) by State 2012
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 (2012)
Figure 2-3: Comparison of Hospital Basic EHR Systems with Hospital Certified EHR Systems 2012
Table 2-6: Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2011-2012)
Table 2-7: Total Cost Range for EMR/PMS Installations (2011-2012)
Table 2-8: Two-year Total Cost for EMR/PMS Installations/Subscriptions 2010-2012 Selected Products (estimates)
Table 2-: US EMR Hospital Adoption Model 2011
Table 2-1: Ownership vs Non-ownership Adoption Rates 2012-2013
Table 2-1: Doctors Office Adoption Rates 2012-2013

Chapter Three: Emerging Trends
Table 3-1: HITECH ACT – Subsidy Plan
Table 3-2: Mergers and Acquisitions
Table 3-3: Number of HIEs in 2011 and 2012 by Top States
Table 3-4: Cost Break-up for a Typical One-Physician Practice (5-year period)
Figure 3-1: Distribution of Cumulative Savings
Table 3-5: EHR Incentive Select Program Payments 2011
Table 3-6: Vendor Product Certifications 2006
Table 3-7: CCHIT 2007 Vendor Certifications
Table 3-8: CCHIT 2008 Vendor Certifications
Table 3-9: EMR/EHR Certifications 2010
Table 3-10: Modular System Certifications 2010
Table 3-11: System Certification in 2011
Table 3-12: System Certification in 2012:
Figure 3-2: By Sector Contribution to the US GDP (2012)
Figure 3-3: The US Healthcare Spending (2009-2020)

Chapter Four: Market Participants
Table 4-1: EMR Mergers and Acquisitions 2010-2012
Table 4-2: Selected Black Book Ratings
Figure 4-1: Allscripts Healthcare Solutions Revenues 2010-2012 ($million)
Figure 4-2: Cerner Revenues 2010-2012
Figure 4-3: CPSI Revenues 2010-2012
Figure 4-4: eClinicalWorks Revenues, 2010-2012 (e)
Figure 4-5: Epic (estimated) Revenues 2010-2012
Figure 4-6: GE Healthcare Applications Revenues 2010-2012
Figure 4-7: Greenway Revenues 2010-2012
Figure 4-8: McKesson Revenues, 2010-2012
Figure 4-9: MEDITECH Revenues 2010-2012
Figure 4-10: MedPlus Revenues 2010-2012
Figure 4-11: NextGen Revenues, 2010-2012
Figure 4-12: Siemens Medical Solutions Revenues, 2010-2012

Chapter Five: Market Analysis
Table 5-1: EMR Market Analysis, 2010-2012
Table 5-2: Forecasted EMR Market Analysis: 2013-2017
Figure 5-1: EMR Market Analysis 2010-2017
Table 5-3: Hospital EMR Market Analysis 2010-2012
Table 5-4: Forecasted Hospital EMR Market Analysis: 2013-2017
Figure 5-2: Hospital EMR Market Analysis: 2010-2017
Table 5-5: Physician/Web-based EMR Market Analysis 2010-2012
Table 5-6: Forecasted Physician/Web-based EMR Market Analysis: 2013-2017
Figure 5-3: Physician/Web-based EMR Market Analysis: 2010-2017
Figure 5-4: EMR Market Breakdown, Physician/Web vs. Hospital 2012
Figure 5-5: EMR Market Breakdown, Physician/Web vs. Hospital 2017
Table 5-7 Notable Companies by Healthcare Specialty Area
Table 5-8: Revenues and Market Share of EMR Providers 2012
Figure 5-6: Revenues and Market Share of EMR Providers 2012

Published By: Kalorama Information
Product Code: Kalorama Information1098


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