EMR 2012-16: The Market for Electronic Medical Records

Mar 13, 2012
190 Pages - Pub ID: KLI3804306
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This report, EMR 2012 is a look at the market and trends impacting electronic medical record software and related services.  Included in the report are statistics influencing the industry, demographics; life expectancy, and company strategies.  Information is presented as a U.S. market, with a section on key international markets.  A market summary includes a total market analysis. Also included is a competitive analysis of leading EMR system providers.  As part of its research, the report includes:

  • 2011 Market Estimates for EMR, and Growth since 2009
  • Market Forecast to 2016
  • 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

Kalorama's Most Current Analysis and Estimate of this Growing Industry

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. For the purpose of this study, Kalorama Information conducted interviews with more than 21 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.  Additional interviews were completed with relevant company representatives including marketing directors, division managers, and product representatives.

Trends Marketers Need to Know About

As part of its comprehensive look at the market, the report examines the following trends and others:

  • Meaningful Use               
  • Economic Stimulus Package        
  • Stimulus Guarantee       
  • Challenges to Healthcare Reform              
  • Cloud Computing      
  • 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’s Surveys –AAFP, ACP, Medscape            
  • Interoperability               
  • Dimensions of Interoperability 
  • Benefits              
  • Smart Cards Technology              
  • Wireless Technologies  
  • Open Source EMR Applications    

All market data pertains to the world market at the manufacturers’ level.  The base year for data was 2011. Historical data was provided for the years 2009 and 2010, with forecast data provided for 2012 through 2016. Compound annual growth rates (CAGRs) are provided for the 2009-2011 and 2012-2016 periods for each region and/or segment covered.  Competitive analysis is provided for the year 2011.  The forecasted market analysis for 2012-2016 was largely based on demographic trends, new developments, company performance trends, merger and acquisitions, and national expansion.

Notable Companies Included in this Report

  • Allscripts Healthcare Solutions    
  • Aprima Medical Software, Inc    
  • Cerner Corporation    
  • Computer Programs and Systems, Inc.    
  • eClinicalworks    
  • Epic Systems, Inc.    
  • GE Healthcare    
  • Medical Information Technology, Inc.  (MEDITECH, Inc.)    
  • MedPlus, Inc.    
  • McKesson Corporation    
  • NextGen Healthcare Information Systems/QSI    
  • Practice fusion    
  • Quadramed Corporation    
  • Siemens Medical Solutions   
  • ADP AdvancedMD          
  • Amazing Charts
  • Athenahealth   
  • BizMatics            
  • ChartLogic          
  • CureMD              
  • e-MDs 
  • Dr First/Rcop     
  • Greenway Medical Technologies             
  • Healthland         
  • Health Management Systems   
  • Henry Schein    
  • Keane  
  • LLS Data Systems            
  • Medsphere Systems     
  • MeridianEMR, Inc           
  • Nightingale Infomatix   
  • Sequel Systems, Inc       
  • SoapWare, Inc  
  • StreamLine  MD               
  • SuiteMed           
  • Vitera  Healthcare  Solutions      
  • Waiting Room Solutions               
  • Web PT               

EMR Affects Every Company Seeking to Market a Healthcare Product

This is a critical resource for healthcare IT companies, but its usefulness is not limited to these companies.  The electronic medical records trend is one of the most important and meaningful changes affecting the healthcare system.  Hospitals and healthcare systems are changing the way they do business and serve patients.  All healthcare marketers should be familiar with the basic issues of EMR, the trends driving it, and optimally, and the companies with solutions who might be future partners.   In the future, product managers should not be surprised to be queried as to how their product will comply with or fit into EMR systems in one way or another.  This report is a valuable resource to provide healthcare marketers with necessary information to understand the trends in EMR in 2012 so that appropriate strategies can be constructed.

As with all Kalorama products, the price listed is a single user license, intended for one person in an organization.  Global and department licenses are available for companies that can benefit from more than a single user.

Industry at a Glance
Physician Use of EMR
Hospital Use of EMR
Size and Growth of the Market
Key Issues and Trends Affecting the Market    
Leading Market Participants    
Scope and Methodology   

   The Medical Record    
   The Electronic Medical Record    
   Industry Terminology
   Industry Structure    
   Increased Access and Efficiency    
   Improved Documentation    
   Quality of Care    
   Increased Resources    
   Quality Assurance    
   Eliminates Costs    
   Patient Privacy    
EMR Software    
   Hardware Requirements    
   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   

Meaningful Use    
Economic Stimulus Package    
Stimulus Guarantee    
Challenges to Healthcare Reform    
Virtualization Technology    
Storage Area Networks    
Cloud Computing    
Dashboard modules    
Mergers and Acquisitions    
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’s Surveys –AAFP, ACP, Medscape    
Dimensions of Interoperability    
Smart Cards Technology    
Wireless Technologies    
Open Source EMR Applications    
Benefits of Open Source EMR Applications    
Adoption Issues
Usability And Adoption    
Physician Group Practices And the Recession    
Quality of Care/Malpractice/Security    
Cost-Benefit Analysis    
ROI for a Typical Physician Practice    
EHR Incentive Program    
Implementation Costs and ROI for Hospitals    
Privacy Issues    
Technology Limitations    
Social and Organizational Barriers    
Results of Wal-Mart and DELL Launches    
Direct PPC Offerings    
Healthcare Spending US and International    
   Europe Asia, and Other EMR Markets    
   The US Market  

Allscripts Healthcare Solutions    
Aprima Medical Software, Inc    
Cerner Corporation    
Computer Programs and Systems, Inc.    
Epic Systems, Inc.    
GE Healthcare    
Medical Information Technology, Inc.  (MEDITECH, Inc.)    
MedPlus, Inc.    
McKesson Corporation    
NextGen Healthcare Information Systems/QSI    
Practice fusion    
Quadramed Corporation    
Siemens Medical Solutions   

Abraxas Medical Solutions    
ADP AdvancedMD    
Amazing Charts    
Dr First/Rcop    
Greenway Medical Technologies    
Health Management Systems    
Henry Schein    
LLS Data Systems    
Medsphere Systems    
MeridianEMR, Inc    
Nightingale Infomatix    
Sequel Systems, Inc    
SoapWare, Inc    
StreamLine  MD    
Vitera  Healthcare  Solutions    
Waiting Room Solutions    
Web PT   

Market Overview    
Market by Segment 
  Hospital EMR Market
  Physician EMR Market 
Competitive Analysis    
Hospital Market Leaders    
Physician Office EMR Market Leaders  
One: Physician Practices Still High Growth Area    
Two: Meaningful Use Confusion Still A Factor For industry    
Three: No Clear Leader Still,  Opportunity For New Players    
Four: Expect More Mergers and Acquisitions    
Five: Interoperability A Major Hurdle    

(And Eight Other Important Conclusions About the Market...)


L I S T   O F   E X H I B I T S


Figure 1-1: Percentage EMR Usage by Physicians , 2006-2011    
Figure 1-2: Growth Rate of EMR Usage    
Figure 1-3: “Fully Functional” Physician Use of EMR vs. “Basic Use,” 2006-2011    
Figure 1-4: Hosptiials at Stage 3 or higher    
Table 1-1: EMR Market Analysis, 2009-2011    
Table 1-2: Forecasted EMR Market Analysis: 2012-2016    
Figure 1-5: EMR Market Analysis: 2009-2016    
Figure 1-6: Market Share of EMR Providers, percent 2011    

Table 2-1: EMR Terminology    
Table 2-2: Physician Adoption of EMRs 2006-2011 (Basic System and Fully Functional System)    
Figure 2-1: Overall Physician Adoption of EMRs 2006-2010    
Table 2-3: Percentage of Office-based Physicians Using Select
EMR Features (US, 2007)    
Table 2-4: Percentage Installation of Various Clinical Applications
 in Hospitals (US, 2009)    
Figure 2-5: EMR/EHR Adoption for Acute Care Hospitals 2008-2011    
Table 2-6: Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2011)    
Table 2-7: Total Cost Range for EMR/PMS Installations (2011)    
Table 2-8: Two-year Total Cost for EMR/PMS Installations/Subscriptions
 2009-2011 Selected Products (not including team costs)    
Table 2-9: US EMR Hospital Adoption Model    
Table 2-10: Ownership vs Non-ownership Adoption Rates 2010    
Table 2-11: Doctors Office Adoption Rates 2011   

Table 3-1: HITECH Act Subsidy Plan
Table 3-2: Mergers and Acquisitions    
Table 3-3 AAFP Most Commonly Cited EMR Companies Results 2011    
Table 3-4 ACP /American EHR Partners Cited Companies List    
Table 3-5: Cost Break-up for a Typical One-Physician Practice (5-year period)    
Figure 3-1: Distribution of Cumulative Savings    
Table 3-6: EHR Incentive Program Payments 2011    
Table 3-7: Vendor Product Certifications 2006    
Table 3-8: CCHIT 2007 Vendor Certifications    
Table 3-9: CCHIT 2008 Vendor Certifications    
Table 3-10: EMR/EHR Certifications 2010    
Table 3-11: Modular System Certifications 2010    
Table 3-12: System Certification in 2011    123
Figure 3-2: By Sector Contribution to the US GDP (2009)    
Figure 3-3: The US Healthcare Spending (2009-2020)   

Table 4-1: Mergers and Acquisitions 2010-2011    
Figure 4-2: Allscripts Healthcare Solutions Revenues 2009-2011 ($million)    
Figure 4-3: Cerner Revenues 2008-2010 ($millions)    
Figure 4-4: CPSI Revenues 2009-2011 ($millions)    
Figure 4-5: eClinicalWorks Revenues, 2009-2011 ($millions)    
Figure 4-6: Epic (estimated) Revenues 2009-2011 ($millions)    
Figure 4-7: GE Healthcare Applications Revenues 2009-2011 ($millions)    
Figure 4-8: MEDITECH Revenues 2009-2011 ($ millions)    
Figure 4-9: MedPlus Revenues 2009-2011 ($millions)    
Figure 4-10: McKesson Revenues, 2009-2011 ($millions)    
Figure 4-11: NextGen Revenues, 2009-2011 ($millions)    
Figure 4-12: Siemens Medical Solutions Revenues, 2009-2011 ($millions)   

Table 6-1: EMR Market Analysis, 2009-2011    
Table 6-2: Forecasted EMR Market Analysis: 2012-2016    
Figure 6-1: EMR Market Analysis: 2009-2016    
Table 6-3: Hospital EMR Market Analysis 2009-2011    
Table 6-4: Forecasted Hospital EMR Market Analysis: 2012-2016    
Figure 6-2: Hospital EMR Market Analysis: 2009-2016    
Table 6-5: Physician/Web-based EMR Market Analysis 2009-2011    
Table 6-6: Forecasted Physician/Web-based EMR Market Analysis: 2012-2016    
Figure 6-3: Physician/Web-based EMR Market Analysis: 2009-2016    
Figure 6-4: EMR Market Breakdown, Physician/Web vs. Hospital 2011    
Figure 6-5: EMR Market Breakdown, Physician/Web vs. Hospital 2016    
Table 6-7   Notable Companies    

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