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.
 

CHAPTER ONE: EXECUTIVE SUMMARY
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
Conclusions
Scope and Methodology

CHAPTER TWO: INDUSTRY OVERVIEW
Introduction
The Medical Record
The Electronic Medical Record
Industry Terminology
Industry Structure
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
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

CHAPTER THREE: EMERGING TRENDS
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
Interoperability
Dimensions of Interoperability
Benefits
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
Summary
Privacy Issues
Technology Limitations
Social and Organizational Barriers
E-Prescribing
CCHIT
NHIN
Results of Wal-Mart and DELL Launches
Direct PPC Offerings
Healthcare Spending US and International
Europe Asia, and Other EMR Markets
The US Market

CHAPTER FOUR: LEADING MARKET PARTICIPANTS
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

CHAPTER FIVE: COMPANIES IN BRIEF
Abraxas 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

CHAPTER SIX: MARKET ANALYSIS
Market Overview
Market by Segment
Hospital EMR Market
Physician EMR Market
Competitive Analysis
Hospital Market Leaders
Physician Office EMR Market Leaders

CHAPTER SEVEN: CONCLUSIONS
Overview
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...)

APPENDIX I: DEFINITION OF INDUSTRY PRODUCTS
APPENDIX II: LIST OF SELECT MAJOR COMPANIES

L I S T O F E X H I B I T S

CHAPTER ONE: EXECUTIVE SUMMARY

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

CHAPTER TWO: INTRODUCTION
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

CHAPTER THREE: EMERGING TRENDS
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)

CHAPTER FOUR: LEADING MARKET PARTICIPANTS
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)

CHAPTER SIX: MARKET ANALYSIS
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