It was less than one year ago that Kalorama Information surveyed the market for electronic medical records. Yet much has changed and the changes may reach into every aspect of healthcare. Since our last report, the U.S. Government has decided to incentivize the use of EMRs through extra Medicare payments, companies have merged and new players - including some well-known corporate giants, have entered the field.

What impact have the announcement of ARRA (stimulus) incentives had, if any? What is the realistic opportunity for producers of EMR systems and system components? Who are the key players who will determine the future of EMR? What is the actual usage rate of EMR? Is this market still open for new entrants?, and what are the strategies that are working in the marketplace? These questions and more are addressed in this report.

In EMR 2010 (Markets, Key Players, ARRA Stimulus Incentives and Innovations), Kalorama Information provides the most current market research on EMR available. As part of its research, EMR 2010 includes:

• Analysis of Various Surveys of Physician EMR Use; Getting Towards Usage

• Current Market Size and Forecasts for the Next Five Years of EMR Sales

• Market Share of Major Competitors

• Breakout of Market for the Physician (Office-based) Market
  and the Hospital Market

• Profiles of Major Players in the Market, As Well As Innovative Companies

• A Complete Overview of EHR, EMR and PHRs

• Physician EMR Preferences and Feature Ratings

• List of EMR Products Certified in 2006, 2007 and 2008

• A Look at the 'Ideal EMR-Enabled Physician'

• ROI for Average Physician Office; Cost for Hospitals and For the Health System

The use of electronic medical records will impact all healthcare industries including IT companies, device makers, test makers and pharmaceutical manufacturers. Kalorama provides Eight Important Conclusions About the EMR Market that market watchers should be aware of.

As with all Kalorama Information research, secondary research into company reports, government reports, trade publications were used as foundation and primary research - interviews with industry experts were used to assess the data and make forecasts.

CHAPTER ONE: EXECUTIVE SUMMARY

Industry at a Glance

Scope and Methodology

Size and Growth of the Market

Physician Use of EMR

Key Issues and Trends Affecting the Market

Leading Market Participants
 

CHAPTER TWO: INDUSTRY OVERVIEW

Introduction

The Medical Record

The Electronic Medical Record

Industry Terminology

Industry Structure

Physician use of Emr

The ‘Ideal EMR-Enabled Physician’

Advantages

Increased Access and Efficiency

Improved Documentation

Quality of Care

Increased Resources

Quality Assurance

Eliminates Costs

Disadvantages

Reliability

Accountability

Patient Privacy

EMR Software

Hardware Requirements

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
 

CHAPTER THREE: EMERGING TRENDS

Economic Stimulus Package

Vendor Stimulus Guarantee

Cloud Computing

Discreet Recordable Transcription

National Physician Education Program

The Personal Health Record System

Doctor’s Survey

Interoperability

Dimensions of Interoperability

Benefits

Smart Cards Technology

Wireless Technologies

Open Source EMR Applications

Benefits of Open Source EMR Applications

Adoption Issues

Cost-Benefit Analysis

ROI For a Typical Physician Practice

Implementation Costs and ROI for Hospitals

Summary

Privacy Issues

Technology Limitations

Social and Organizational Barriers

CCHIT

NHIN

Mega Computer Giant Dell Market Entry

International Markets and Trends

European Union and Asia-Pacific Markets

The US Market

 

CHAPTER FOUR: COMPANY PROFILES

Abraxas Medical Solutions

Allscripts-Misys Healthcare Solutions

Amazing Charts.com Inc

Cerner Corporation

ChartLogic, Inc

Computer Programs and Systems, Inc.

Dell

eClinicalworks

Eclipsys Corporation

e-MDs, Inc.

Emedon

Epic Systems, Inc.

GE Healthcare

Greenway Medical Technologies

MDTablet.com

MediTech, (Medical Information Technology, Inc.)

MedPlus, Inc.

McKesson Corporation

NextGen Healthcare Information Systems/QSI

Quadramed Corporation

Siemens Medical Solutions

SynaMed

 

CHAPTER FIVE: MARKET ANALYSIS

Market Overview

Competitive Analysis

Hospitals and Health System Technology Providers

Practice Management System (PMS) Acquirers

Pharmacy Services Providers

Other Entities

Market Segmentation

Hospital Market

Office and Web-Based
 

CHAPTER SIX: CONCLUSIONS

Overview

Conclusion One

Conclusion Two

Conclusion Three

Conclusion Four

Conclusion FIve

Conclusion Six

Conclusion Seven

Conclusion Eight
 

APPENDIX A: DEFINITION OF INDUSTRY PRODUCTS

 

CHAPTER ONE: EXECUTIVE SUMMARY

Table 1-1: EMR Market Analysis, 2006-2008

Table 1-2: Forecasted EMR Market Analysis: 2009-2013

Figure 1-1: EMR Market Analysis: 2006-2013

Figure 1-1: Market Share of EMR Providers 2008

CHAPTER TWO: INTRODUCTION

Table 2-1: Terminology - EMR, EHR, PHR

Table 2-2: Physician Use of EMR: Multiple Surveys

Table 2-3: Age-wise 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)

Table 2-5: Location Characteristics of Office-based Physicians 2007 (US, 2007). 23

Table 2-6: Percentage 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)

Table 2-9: EMR System 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 2-11: Total Cost Range for EMR/PMS Installations (2005)

Table 2-12: Two-year Total Cost for EMR/PMS Installations/Subscriptions 2005-2007 Selected Products 44
 

CHAPTER THREE: ROI, PHYSICIAN OPINION, INCENTIVES AND OTHER TRENDS

Table 3-1: HITECH ACT - Subsidy Plan

Table 3-2: Survey of Physicians -EMR System Used

Figure 3-1: Survey of Physicians - EMR System Used

Table 3-2: Rating of EMR by Physicians

Table 3-: Cost Break-up for a Typical One-Physician Practice (5-year period)

Figure 3-2: Distribution of Cumulative Savings

Table 3-5: Total Implementation Cost for All Healthcare Systems, Physicians and Hospitals (Low End, High End, Average Cost)

Figure 3-3: By Sector Contribution to the US GDP (2007)

Figure 3-4: The US Healthcare Spending (2005-2016)
 

CHAPTER FIVE: MARKET ANALYSIS

Table 5-1: EMR Market Analysis, 2006-2008

Table 5-2: Forecasted EMR Market Analysis: 2009-2013

Figure 5-1: EMR Market Analysis: 2006-2013

Table 5-3: Revenues and Market Share of EMR Providers 2008

Figure 5-2: Revenues and Market Share of EMR Providers 2008

Table 5-4: Hospital-based Competitive Analysis, 2008

Table 5-5: Office and Web-Based Competitive Analysis, 2008