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1、The Market for EMR 2010 Rures adquireret umbraculi, etiam tremulus matrimonii libere senesceret appDecember 2009 Kalorama Information A division of MarketR 38 East 29th Street Sixth Floor New York, New York 10016 212.807 .2660 t 800.298.5603 t 212.807 .2676 f Copyright 2009 Kalorama Information ELE
2、CTRONIC MEDICAL RECORDS TECHNOLOGIES IN HEALTHCARE 2010 A KALORAMA INFORMATION MARKET INTELLIGENCE REPORT Electronic Medical Records Technologies in Healthcare has been prepared by Kalorama Information. We serve business and industrial clients in the United States and abroad with a complete line of
3、information services and research publications. Kalorama Information Market Intelligence Reports are specifically designed to aid the action-oriented executive by providing a thorough presentation of essential data and concise analysis. Author: Mary Anne Crandall Publication Date: December 2009 38 E
4、ast 29th Street New York, New York 10016 (800) 298-5699 Outside the U.S. (212) 807-2657 FAX: (212) 807-2676 www.KaloramaI E-MAIL: KLI2503320 COPYRIGHT 2008 Kalorama Information a division of MarketR, Inc. Table of Contents ii Copyright 2009 Kalorama Information CHAPTER ONE: EXECUTIVE SUMMARY1 Indus
5、try at a Glance .1 Scope and Methodology2 Size and Growth of the Market .3 Physician Use of EMR7 Key Issues and Trends Affecting the Market.7 Leading Market Participants.8 Conclusions10 CHAPTER TWO: INDUSTRY OVERVIEW 11 Introduction.11 The Medical Record12 The Electronic Medical Record.13 Industry T
6、erminology.15 Industry Structure18 Physician use of Emr 19 The Ideal EMR-Enabled Physician24 Advantages.28 Increased Access and Efficiency 28 Improved Documentation.28 Quality of Care .29 Increased Resources29 Quality Assurance.29 Eliminates Costs .29 Disadvantages29 Reliability .30 Accountability.3
7、0 Patient Privacy30 EMR Software31 Hardware Requirements .34 Components of an EMR .36 Administrative System Components 37 Laboratory System Components.37 Radiology System Components38 Pharmacy System Components 38 Computerized Physician Order Entry.38 Clinical Documentation39 Flow of Patient Data ac
8、ross Various Components .40 Table of Contents iii Copyright 2009 Kalorama Information Pricing of EMRs 41 CHAPTER THREE: ROI, PHYSICIAN OPINION, INCENTIVES AND OTHER TENDS.45 Economic Stimulus Package.45 Vendor Stimulus Guarantee.47 Cloud Computing48 Discreet Recordable Transcription49 National Physi
9、cian Education Program50 The Personal Health Record System .51 Doctors Survey .53 Interoperability57 Dimensions of Interoperability58 Benefits .58 Smart Cards Technology59 Wireless Technologies.61 Open Source EMR Applications63 Benefits of Open Source EMR Applications 63 Adoption Issues64 Cost-Benef
10、it Analysis 67 ROI For a Typical Physician Practice.68 Implementation Costs and ROI for Hospitals .70 Summary.71 Privacy Issues.72 Technology Limitations.72 Social and Organizational Barriers .73 CCHIT73 NHIN.83 Mega Computer Giant Dell Market Entry86 International Markets and Trends 87 European Uni
11、on and Asia-Pacific Markets.88 The US Market89 Direct PPC Offerings 92 CHAPTER FOUR: COMPANY PROFILES .93 Abraxas Medical Solutions.94 Table of Contents iv Copyright 2009 Kalorama Information Allscripts-Misys Healthcare Solutions95 Company Overview 95 Performance Review.95 Key Acquisitions, Alliance
12、s, and Partnerships.96 Products and Services96 Key Competitors.97 Key Executives97 Growth Strategy .97 Amazing C Inc97 Cerner Corporation99 Company Overview 99 Performance Review.99 Key Acquisitions, Alliances, and Partnerships.100 Products and Services101 Key Competitors.102 Growth Strategy .102 Lo
13、cations103 ChartLogic, Inc.104 Computer Programs and Systems, Inc105 Company Overview 105 Performance Review.105 Products and Services106 Key Competitor.107 Growth Strategy .107 Locations108 Dell108 eClinicalworks.109 Company Overview 109 Performance Review.109 Key Acquisitions, Alliances and Partne
14、rships110 Products and Services110 Growth Strategy .110 Eclipsys Corporation111 Company Overview 111 Performance Review.111 Key Acquisitions, Mergers, and Partnerships112 Products and Services113 Key Competitors.114 Growth Strategy .114 Locations114 e-MDs, Inc115 Emedon 116 Epic Systems, Inc. .117 T
15、able of Contents v Copyright 2009 Kalorama Information Company Overview.117 Performance Review.117 Key Acquisitions, Alliances, and Partnerships.118 Products and Services.119 Key Competitors .120 Growth Strategy120 Locations.120 GE Healthcare .121 Company Overview.121 Performance Review.121 Key Acqu
16、isitions, Alliances, and Partnerships.122 Products and Services.123 Key Competitors .123 Growth Strategy124 Locations.124 Greenway Medical Technologies125 MDT.125 MediTech, (Medical Information Technology, Inc.).126 Company Overview.126 Performance Review.126 Key Acquisitions, Alliances, and Partner
17、ships.127 Products and Services.128 Key Competitors .129 Growth Strategy129 Locations.129 MedPlus, Inc. .130 Company Overview.130 Performance Review.130 Key Acquisitions, Alliances, and Partnerships.131 Products and Services.131 Key Competitors .132 Growth Strategy132 Locations.132 McKesson Corporat
18、ion.133 Company Overview.133 Performance Review.133 Key Acquisitions, Alliances, and Partnerships.134 Products and Service135 Key Competitors .136 Growth Strategy136 Locations.136 NextGen Healthcare Information Systems/QSI137 Company Overview.137 Performance Review.137 Key Acquisitions, Alliances an
19、d Partnerships138 Table of Contents vi Copyright 2009 Kalorama Information Products and Services138 Key Competitors.139 Growth Strategy .140 Quadramed Corporation140 Company Overview 140 Performance Review.141 Key Acquisitions, Alliances and Partnerships141 Products and Services142 Key Competitors.1
20、42 Growth Strategy .143 Siemens Medical Solutions.143 Company Overview 143 Performance Review.143 Key Acquisitions, Alliances, and Partnerships.144 Products and Service144 Key Competitors.145 Growth Strategy .146 Locations146 SynaMed147 CHAPTER FIVE: MARKET ANALYSIS149 Market Overview149 Competitive
21、 Analysis153 Hospitals and Health System Technology Providers .153 Practice Management System (PMS) Acquirers 153 Pharmacy Services Providers 154 Other Entities .154 Market Segmentation .159 Hospital Market159 Office and Web-Based160 CHAPTER SIX: CONCLUSIONS.161 Conclusion One 161 Conclusion Two161
22、Conclusion Three163 Conclusion Four164 Conclusion Five164 Conclusion Six165 Conclusion Seven .165 Conclusion Eight 166 APPENDIX A: DEFINITION OF INDUSTRY PRODUCTS.169 Table of Contents vii Copyright 2009 Kalorama Information LIST OF EXHIBITS CHAPTER ONE: EXECUTIVE SUMMARY Table 1-1: EMR Market Analy
23、sis, 2006-2008.4 Table 1-2: Forecasted EMR Market Analysis: 2009-2013.5 Figure 1-1: EMR Market Analysis: 2006-2013.6 Figure 1-1: Market Share of EMR Providers 20089 CHAPTER TWO: INTRODUCTION Table 2-1: Terminology EMR, EHR, PHR 18 Table 2-2: Physician Use of EMR: Multiple Surveys.20 Table 2-3: Age-w
24、ise Percentage Distribution of Office-based Physicians Using EMR (US, 2006-2007).21 Table 2-4: Percentage Distribution of Office-based Physicians Using EMR by Practice Characteristics (US, 2007)22 Table 2-5: Location Characteristics of Office-based Physicians 2007 (US, 2007).23 Table 2-6: Percentage
25、 of Office-based Physicians Using Select EMR Features (US, 2006).25 Table 2-7: Percentage Installation of Various Clinical Applications in Hospitals (US, 2006).26 Table 2-8: Hospitals Automated or Contracted for EMR, CDR, CPOE, LIS, PMS, POC, RIS, and Radiology PACS (US, 2006)27 Table 2-9: EMR Syste
26、m Implementation Rate across Various Operating Room Environments (US, 2005).28 Table 2-10: Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2005-2008).42 Table 2-1!: Total Cost Range for EMR/PMS Installations (2005)42 Table 2-12: Two-year Total Cost for EMR/PMS Installati
27、ons/Subscriptions 2005- 2007 Selected Products44 CHAPTER THREE: ROI, PHYSICIAN OPINION, INCENTIVES AND OTHER TENDS: Table 3-1: HITECH ACT Subsidy Plan.47 Table 3-2: Survey of Physicians EMR System Used.54 Figure 3-1: Survey of Physicians EMR System Used55 Table 3-3: Ratings of EMR Systems56 Table of
28、 Contents viii Copyright 2009 Kalorama Information Table 3-4: Cost Break-up for a Typical One-Physician Practice (5-year period).69 Figure 3-1: Distribution of Cumulative Savings 70 Table 3-5:Total Implementation Cost for All Healthcare Systems, Physicians and Hospitals (Low End, High End, Average C
29、ost).71 Figure 3-2: By Sector Contribution to the US GDP (2007).89 Figure 3-3: The US Healthcare Spending (2005-2016)91 CHAPTER FIVE: MARKET ANALYSIS Table 5-1: EMR Market Analysis, 2006-2008150 Table 5-2: Forecasted EMR Market Analysis: 2009-2013 151 Figure 5-1: EMR Market Analysis: 2006-2013 152 T
30、able 5-3: Revenues and Market Share of EMR Providers 2008.157 Figure 5-2: Revenues and Market Share of EMR Providers 2008.158 Table 5-4: Hospital-based Competitive Analysis, 2008 159 Table 5-5: Office and Web-Based Competitive Analysis, 2008160 Copyright 2009 Kalorama Information CHAPTER ONE Executi
31、ve Summary INDUSTRY AT A GLANCE Electronic Medical Record (EMR) is the bread and butter product offering of the health information technology market, and it affects most healthcare IT purchases. Government initiatives and cost concerns are key drivers of EMR and will remain so in the near future. Te
32、chnology companies seeking to understand the market for health information technology will need to build products that address the need for EMR, or work around existing systems. An understanding of EMR products in the marketplace is critical. The healthcare industry includes establishments ranging f
33、rom small private practices of physicians with only one medical assistant to large city hospitals that employ thousands of professionals. Healthcare is a large market, and one that has been slow to adopt technology. This means opportunities for technology companies. Many consider this arena the new
34、frontier for IT. The financial opportunities created by the government stimulus create unprecedented opportunities for both hospital- based and ambulatory providers to implement EMR technology. However, there are many issues to be addressed. There is a variety of factors affecting the adoption of th
35、is technology both positive and negative including: Increase in access and efficiency Increase in documentation Executive Summary 2 Copyright 2009 Kalorama Information Increase in quality of care Increase in resources Increase in quality assurance Concern over liability Concern over accountability P
36、atient privacy Costs Vendors are a vital part of shaping this industry. Having the competitive intelligence is just one part of advancing this industry. Participants need to be ever vigilant of the economic pulse and the governments role in healthcare to properly meet the challenges facing the indus
37、try today and in the future. SCOPE AND METHODOLOGY 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 a
38、nalysis. Also included is a competitive analysis of leading EMR system providers. 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 bu
39、siness 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 12 key industry officials, consultants, health care providers, and government personnel. These sour
40、ces 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 Executive Summary 3 Copyright 2009 Kalorama Information representatives including marketing directors, divis
41、ion managers, and product representatives. All market data pertains to the U.S. market at the manufacturers level. The base year for data was 2008. Historical data was provided for the years 2006 and 2007, with forecast data provided for 2008 through 2012. Compound annual growth rates (CAGRs) are pr
42、ovided for the 2006-2008 and 2009-2013 periods for each region and/or segment covered. Competitive analysis is provided for the year 2008. The forecasted market analysis for 2009-2013 was largely based on demographic trends, new developments, company performance trends, merger and acquisitions, and
43、national expansion. SIZE AND GROWTH OF THE MARKET Healthcare Information Technology (HIT) is primarily divided into two categories clinical and administrative IT solutions. HIT is used in the business and administrative environment of hospitals, primary care centers, diagnostic centers, and physicia
44、n practices. EMR is a clinical IT solution, which broadly encompasses five areas Pharmacy Information Systems (PISs), Radiology Information Systems (RISs), Laboratory Information Systems (LISs), other information systems for clinical functions, wireless-enabled systems and surgical management system
45、s. Tools, such as Computerized Practitioner Order Entry (CPOE) systems and decision support systems, are used across all these information systems. There are certain tools, such as Picture Archiving and Communication Systems (PACS), which are used only for data stored in the RIS. Documentation, poin
46、t of care, and medication administration are some of the tools used in the information systems for clinical solutions. Administrative solutions would include patient administration, billing, electronic booking systems, finance, supply chain management, and HR/payroll. The market for EMR was $12.0 bi
47、llion in 2008 as indicated in Table 1-1. It is expected to rise to $25.4 billion by 2013, as indicated in Table 1-2. Most of this represents sales to hospitals. In the market chapter of the report, the total EMR market is segmented between hospital and healthcare systems, and physicians or web- base
48、d sales. Executive Summary 4 Copyright 2009 Kalorama Information Table 1-1 EMR Market Analysis, 2006-2008 (in millions of dollars at the manufacturers level) Compound Annual Growth Rate Source: Kalorama Information Year Revenues Percent Change 2006 $8,832.0 - 2007 10,223.6 15.8 2008 12,010.2 17.5 20
49、06-2008 16.6% Executive Summary 5 Copyright 2009 Kalorama Information Table 1-2 Forecasted EMR Market Analysis: 2009-2013 (in millions of dollars at the manufacturers level) Compound Annual Growth Rate Source: Kalorama Information Year Revenues Percent Change 2009 13,886.3 15.6 2010 16,010.2 15.3 2011 18,544.2 15.8 2012 21,669.8 16.9 2013 25,421.3 17.3 2009-2013 16.2% Executive Summary 6 Copyright