U.S. Market for EMR Technologies (Electronic Medical Records)

Jan 1, 2007
245 Pages - Pub ID: KLI1365762
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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 Medical Solutions

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