EMR Market 2017: Electronic Medical Records in an Era of Disruption

Apr 18, 2017
290 Pages - Pub ID: KLI15322042
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EMR Market 2017: Electronic Medical Records in an Era of Disruption


For a decade, the EMR market could be said to be a growing market on a predictable trajectory.  No more. The $28 billion-dollar EMR market is witnessing fundamental changes that are important for market watchers to know about that could affect the market. These are among the disruptive changes affecting the EMR market and EMR companies:

Frustrated Physicians
Hospitals Switching EMR Vendors
A New President and New Healthcare Policy Leaders
Ransomware Attacks and Cyber Breaches Causing a PR Downside
"Dashboarding," Blockchain and Other Product Trends
Hundreds of Competitors
No Vendor With Even 1/5th of the Market
Interoperability Mandates
IT Staff Shortages

These are just some of the changes covered in detail in Kalorama Information’s new report, EMR Market 2017: Electronic Medical Records in an Era of Disruption, on the electronic medical records market, one that Kalorama has covered since 2007, including our 2016 report.

The Era of Disruption in the EMR Market


Kalorama Information's EMR Market 2017: Electronic Medical Records in an Era of Disruption provides the EMR market size, as well as market forecasts and trends.  Some trends we've noted in this report included the depth of physician adoption, user dissatisfaction with their purchases, lack of interoperability, implementation difficulties, staffing shortages in IT, the lack of a clear EMR market leader, increasing international markets, and cybersecurity.  Additionally, a new administration with a different set of objectives from the Obama Administration that incentivized EMR purchases is in office, potentially changing programs.  Kalorama Information believes that at this time these trends are combining to distrupt the EMR marketplace, even while revenues for companies grow.  The report takes a look at these trends and provides the following data:

The EMR Market, 2014 and Forecasted to 2021
Possible Trump Administration Moves and Likely Impact
Blockchain, OpenSource EMR, BYOD and Other Must-Watch Trends
Electronic Medical Records Vendor Market Share
The Hospital and Ambulatory EMR Markets, 2014-21
Breakouts of Market: Services, Software, Hardware
Meaningful Use, MACRA and Other Policies
The Latest Physician EMR Usage Statistics
Current Hospital Stage Goals and Results
Pricing of EHR Systems and ROI Information
International EMR Markets
Over 50 Profiles of EMR Companies

EMR Market 2017: Electronic Medical Records in an Era of Disruption is a look at the market and trends affecting electronic medical record software, EMR companies, and related services.  Included in the report are statistics influencing EMR companies in the industry, demographics, life expectancy, and company strategies.   

Industry-Focused Report: A Look at Potential Policy Moves and Their Impact on the EMR Market


Kalorama Information reports are based on real industry events and performance, not academic models. Revenues are based on worldwide figures. Included in the revenues are sales of software, services, consulting and replacement.  A market summary includes a total EMR market analysis. Also included is a competitive analysis of leading EMR system providers. Most importantly, this report contains a look at big issues and trends in the industry.  Mergers are detailed, physician and hospital adoption stats are provided.  A list of potential Trump Presidency moves and their likely impact are detailed in the report as well.  

Issue – New Administration policy  

EMR companies in the industry have been plagued with confusion regarding meaningful use and certification of EMR systems, which has slowed adoption progress. It appears the adoption rate for electronic medical records may have decreased in 2009 and to some degree 2010 as a result of confusing guidelines, though the percentage of physicians using electronic records made progress. Many of the well-intended helps such as regional extension centers have failed to materialize and those that did were busy trying to put their own house in order so that they could help the community. Clearer guidelines and support available in 2011 and 2012 have helped the industry to push forward but there is still some confusion, especially with small physician offices. In 2016, the EHR reporting period for a payment adjustment year for EP who are new participants is any continuous 90-day period in 2016. New participants who successfully demonstrate meaningful use for this period and satisfy all other program requirements will avoid the payment penalty in 2017.
 
Issue – Cybersecurity

There continues to be an uptick in the number and severity of security breaches in healthcare involving small and large institutions alike. Security of medical records is still of highest concern and one that seems to be experiencing increasing bumps in the road. There have been numerous breaches in all areas of healthcare and it does not seem to be getting better. With so many portals to access the information, systems have a hard time securing the contents. This will continue to be a huge concern for all participants. Stringent security measures are mandated with updates to HIPAA and with more stringent HIPAA guidelines now in play, the industry can expect to see fines that are more significant. This area continues to be an Achilles heel for the industry. 

Issue – Frustrated Physicians.  

Physicians have repeatedly complained that EHRs are difficult to use. Many EHR interfaces are awkward and non-intuitive creating more problems than solutions.  Physicians are not convinced that EMR’s will cut costs or help to provide better and safer care.  One of the reasons for this may be that vendors do not seem to be in touch with what physicians need in their individual practices. Furthermore, EHRs often get in the way and slow users down because of the way they are configured or are not convenient to use. Most EHRs are not designed to help physicians juggle the simultaneous tasks they all face, like answering a question about one patient while in the middle of writing a prescription for another.   

Over 1,000 EMR Providers in the Market


The electronic medical records market is competitive, with over 1,000 EMR providers; however, increasing mergers and acquisitions in the industry will result in the reduction in the number of companies in the EMR market. Local and country-specific vendors were counted in the total number of EMR providers but were not considered as major players in worldwide market participation. EMR providers remain competitive by offering high-quality solution packages to private practices and hospitals. Cerner has the largest share of the EMR market; however, there are still many opportunities 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 and innovative EMR providers are discussed in EMR Market 2017: Electronic Medical Records in an Era of Disruption along with unique niche players including:

•  4Medica
•  Advanced MD
•  ALERT Life Sciences
•  Allmeds
•  Allscripts Healthcare Solutions
•  Amazing Charts
•  Aprima Medical Software
•  Athenahealth
•  Bizmatics
•  Cambio Healthcare Systems
•  CareCloud
•  Cerner
•  ChartLogic
•  CompuGroup Medical
•  Computer Programs & Systems
•  CSC
•  CureMD
•  drchrono
•  Dr First/Rcop
•  eClinicalWorks
•  Egton Medical Information
•  E-MDs
•  Epic
•  GE Healthcare 
•  Greenway Medical 
•  HealthFusion
•  Healthland
•  Henry Schein
•  IMS MAXIMS
•  InterSystems Corporation
•  Kareo
•  McKesson
•  MEDHOST
•  Meditab
•  Medical Information Technology
•  MEDITECH
•  Medsphere Systems
•  MeridianEMR, Inc
•  Microtest Ltd.
•  NextGen
•  Nextech
•  Nightingale Infomatix
•  NoemaLife S.p.A. (Dedalus S.p.A)
•  Nuesoft Technologies
•  Practice Fusion
•  Praxis
•  QuadraMed Corporation
•  Quality Systems
•  Quest Diagnostics
•  SAP AG
•  Sequel Systems, Inc
•  StreamLine MD
•  Tieto
•  WRS Health
•  Web PT

    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

    T
    able 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





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