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

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In the next few years, U.S. hospitals, health systems and group practices have earmarked billions for the purchase of technologies that will help them improve efficiencies and reduce costs. Electronic Medical Record (EMR) technology (also known as EPR or EHR) will certainly be among their purchases.

EMR has proven it can make healthcare workflow more efficient, reduce costs, while at the same time improving the quality of patient care. Given these undisputable benefits, the 1.2 billion-dollar market for EMR is expected to grow nearly 400% in the next eight years, according to Kalorama’s experts.

Companies who wish to understand this market and take advantage of the opportunity this market offers will want EMR Technologies, The U.S. Market , Kalorama’s complete roundup of the US market for EMR technologies. In exhaustive detail, Kalorama has analyzed every aspect of this nascent market. The report features:

Extensive Hospital IT Budget Data showing demand for products in this area.
The Key Players in EMR Including their Key Executives and Major Clients
Over 100 Figures and Tables provide an accurate picture of this market
Major product offerings and pricing models to assist with pricing strategy and competitive assessment
Current EMR Revenues and Forecasts to 2015 for long-term strategic planning.
New Features and Applications users are Demanding for new product consideration and existing product enhancement
How HIPAA and other US Regulations Will Impact this Market
EMR can be a difficult marketplace to understand without assistance from qualified analysts. A few market leaders dominate, but there are many small companies and excellent potential for entrants. Product offerings and pricing models vary. Adoption rates vary as health providers implement technology in stages. New applications may change the marketplace.

Kalorama’s clear and concise report cuts through these confusing aspects associated with understanding healthcare software systems and provides the important information market-watchers need to know about the US EMR market. This is one of the few resources available on the current EMR market. Technologies covered in EMR Technologies, The U.S. Market, include:
- Laboratory Information Systems (LIS)
- Radiology Information Systems (RIS)
- Pharmacy Information Systems (PIS)
- Computerized Physician Order Entry (CPOE)
- Picture Archiving and Communication Systems (PACS)
- Decision Support Systems (DSS)
- other EMR systems and applications.
Kalorama’s unique and thorough research process provides an exhaustive analysis of this evolving market. Information 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. For the purpose of this study, Kalorama Information conducted telephone and email interviews with 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. Specific interviews with EMR representatives included marketing directors, division managers, and product development representatives. In addition to superior coverage of the overall market, in-depth company profiles are included for the following EMR companies:
- Cerner
- McKesson
- CPSI
- Epic Systems
- GE Healthcare
- MEDITECH
- QuadraMed
- Siemens
- Eclipsys
- MEDPLUS

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 Typesof 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 forEMR/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 PhysiciansUsing 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 UsingSelect 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 UsingEMR Systems (US, 2002)
Table 5-9: Adoption of CPOE Applications and Functions byPharmacies (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 Organizationsin 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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U.S. Market for EMR Technologies (Electronic Medical Records)

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