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Healthcare Information Technology

Healthcare Information Technology

The U.S. market for clinical healthcare information technologies reached $14.1 billion and nearly $15.6 billion in 2013 and 2014, respectively. This market is expected to grow at a compound annual growth rate (CAGR) of 4.8% to reach $19.7 billion in 2019.

This report provides:

An overview of the market for selected clinical healthcare information technologies (IT) in the context of ongoing dramatic changes in the structure of the U.S. healthcare sector.

Analyses of market trends, with data from 2013 and 2014, and projections of CAGRs through 2019.

Information on relevant laws and regulations, standards, potential funding sources, and other information that will be useful to healthcare IT suppliers seeking a share of this market.

Estimations of the size of each market segment.

Coverage of clinical IT systems that facilitate or provide input into the care process, as opposed to administrative and financial systems.


This report is an analytical business tool whose primary purpose is to describe and analyze the dynamics of the U.S. market for healthcare technology. It is particularly focused on clinical IT systems that facilitate or provide input into the care process, as opposed to administrative and financial systems. It covers only software applications, as well as dedicated hardware and online services used to run them.

The study format includes these major elements:

Executive summary.

Definitions.

Clinical healthcare IT applications.

Benefits and barriers to implementation.

Market environment (e.g., legal and regulatory standards, economic conditions, consumer attitudes).

Historical (i.e., 2013) and projected markets for healthcare IT technologies and products between 2014 and 2019.

Industry structure.

CHAPTER 1 INTRODUCTION
STUDY BACKGROUND
GOALS AND OBJECTIVES
INTENDED AUDIENCE
SCOPE AND FORMAT
METHODOLOGY
ANALYST'S CREDENTIALS
RELATED BCC RESEARCH REPORTS
BCC RESEARCH WEBSITE
DISCLAIMER
CHAPTER 2 EXECUTIVE SUMMARY
SUMMARY TABLE U.S. MARKET FOR CLINICAL HEALTHCARE INFORMATION TECHNOLOGIES, THROUGH 2019 ($ MILLIONS)
SUMMARY FIGURE CLINICAL HEALTHCARE INFORMATIONTECHNOLOGIES MARKET SHARES, 2013-2019 (%)
CHAPTER 3 CLINICAL HEALTHCARE IT: AN OVERVIEW
DEFINITIONS
TABLE 1 MAJOR CLASSES OF HEALTHCARE IT TECHNOLOGIES
CLINICAL SOFTWARE
HARDWARE DEDICATED TO CLINICAL IT APPLICATIONS
HISTORY
CHAPTER 4 TYPES OF CLINICAL IT TECHNOLOGIES
TABLE 2 MAJOR TYPES OF CLINICAL HEALTHCARE IT TECHNOLOGIES
ELECTRONIC HEALTH RECORDS
PROVIDER ORDER ENTRY SYSTEMS FOR DRUGS, LAB TESTS AND PROCEDURES
ELECTRONIC PRESCRIBING SYSTEM
PICTURE ARCHIVING AND COMMUNICATION SYSTEMS FOR FILMLESS IMAGING
LABORATORY INFORMATION SYSTEMS
CLINICAL DECISION SUPPORT SYSTEMS
TELEMEDICINE
OTHER RELATED AND SUPPORTING TECHNOLOGIES
HEALTH SELF-MONITORING
PERSONAL HEALTH RECORDS
RADIO FREQUENCY IDENTIFICATION
VeriChip
BARCODING
SPEECH RECOGNITION
MEDICAL EQUIPMENT INTERFACES
BENEFITS OF CLINICAL HEALTHCARE IT TECHNOLOGIES
BENEFITS TO PATIENTS
Improved Quality of Care
Lower Costs
Wider Availability of Health Insurance
BENEFITS TO HOSPITALS, PHYSICIANS AND OTHER CAREGIVERS
Clinical Efficiencies and Improved Quality
Verification of Insurance Eligibility and Benefits
Patient Satisfaction
Image and Public Relations
Reduced Malpractice Risk
Employee Morale
BENEFITS TO THE PHARMACEUTICAL INDUSTRY
Pharmaceutical Manufacturers
Improved Drug Safety Surveillance
Clinical Trial Recruitment
Support of Regulatory Approval
Retail Pharmacies
Opportunities to Increase Revenues
BENEFITS TO HEALTH INSURANCE PROVIDERS
BARRIERS TO DEPLOYMENT
COST
LACK OF METRICS
LACK OF STANDARDS
Clinical Vocabularies
Clinical Ontologies
COMPATIBILITY
Backwards Compatibility
Sideways Compatibility
Forward Compatibility
WIDE RANGE OF SOFTWARE CHOICES
LACK OF PERSONNEL WITH APPROPRIATE SKILLS
LIMITED FINANCIAL RETURNS ON HEALTH IT INVESTMENTS
PRIVACY CONCERNS
SAFETY ISSUES
LEGAL LIABILITY
Privacy
Safety
PREVIOUS IMPLEMENTATIONS OF HEALTHCARE IT
U.S.
Department of Defense
Department of Veterans Affairs
Cedars-Sinai Medical Center Physician Order Entry System
Santa Barbara County Care Data Exchange
Massachusetts eHealth Collaborative
OTHER COUNTRIES
U.K. National Health Service National Programme for IT
Alberta (Canada) Netcare
Other Countries Implement EHR
MARKET SUMMARY
TABLE 3 U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES BY APPLICATION TYPE, THROUGH 2019 ($ MILLIONS)
FIGURE 1 U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES PRODUCT MARKET SHARES, 2013-2019 (%)
CHAPTER 5 MARKET ENVIRONMENT FOR CLINICAL HEALTHCARE IT
TECHNOLOGIES
LEGAL AND REGULATORY ENVIRONMENT
LEGISLATION
Federal Legislation
Better Healthcare through Information Technology Act of 2005
Medicare Value Purchasing Act
Health Information Technology Promotion Act
Wired for Healthcare Quality Act
American Recovery and Reinvestment Act of 2009
Patient Protection and Affordable Care Act of 2010
Continuing Extension Act of 2010
Electronic Health Records Improvement Act of 2012
Food and Drug Administration Safety and Innovation Act
State Legislation
Maryland
Massachusetts
Minnesota
New Mexico
Rhode Island
Vermont
EXECUTIVE ORDERS
Federal Level
Executive Order 13335
Executive Order 13410
State and Local Levels
TABLE 4 STATE EXECUTIVE ORDERS RELATING TO HEALTH IT
REGULATIONS
Federal Regulations
Potential FDA Regulation of EHRs
EHR and HIPAA
HHS Regulations to Facilitate Adoption of Health Information
Technology
State and Local Regulations
CERTIFICATION BODIES
Certification Commission for Healthcare Information Technology
ECONOMIC ENVIRONMENT
Government Funding
Federal Government
FIGURE 2 TRENDS IN PROJECTED FEDERAL HEALTH IT SPENDING, 2013-2019 ($ BILLIONS)
Other Government Entities
Massachusetts
Minnesota
New York State
New York City
North Carolina
Vermont
Nonprofit Funding
Regenstrief Institute
Markle Foundation
Robert Wood Johnson Foundation
Private Funding
Care Providers
Investment and Financing Trends in the Hospital Industry
FIGURE 3 TRENDS IN U.S. HOSPITALS' IT SPENDING, 2013-2019 ($ BILLIONS)
Physician Practice Financial Trends
Implications for ARRA Incentive Program
Insurance Companies
Mixed Public-Private Funding
CHAPTER 6 ELECTRONIC HEALTHCARE RECORDS: TECHNOLOGIES AND
MARKETS
SUMMARY
FIGURE 4 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
EHR VERSUS EMR
EHR FUNCTIONALITIES
TABLE 5 TYPICAL EHR FUNCTIONALITIES
CLIENT/SERVER ARCHITECTURE VS. APPLICATION SERVICE PROVIDER
SUPPLIERS
TABLE 6 EHR TECHNOLOGY PROVIDERS
MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2013–2019
TABLE 7 TOTAL POTENTIAL U.S. MARKET FOR EHRS, 2014-2019
TABLE 8 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, THROUGH 2019 ($ MILLIONS)
CHAPTER 7 PROVIDER ORDER ENTRY TECHNOLOGIES AND MARKETS
SUMMARY
FIGURE 5 U.S. CPOE TECHNOLOGY MARKET, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
SUPPLIERS
TABLE 9 CPOE TECHNOLOGY SUPPLIERS
MARKET FOR PROVIDER ORDER ENTRY TECHNOLOGIES, 2012-2019
TABLE 10 INSTALLED BASED OF CPOE SYSTEMS IN U.S. HOSPITALS, THROUGH 2012
TABLE 11 U.S. MARKET FOR CPOE SYSTEMS, THROUGH 2019 ($ MILLIONS)
CHAPTER 8 ELECTRONIC PRESCRIBING TECHNOLOGIES AND MARKETS
SUMMARY
FIGURE 6 U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
TRADITIONAL PRESCRIBING PRACTICES
ELECTRONIC PRESCRIBING
E-Prescribing Software
Installed Applications
Web-based Applications
Mobile Interface Devices
Electronic Data Interchange
SUPPLIERS
TABLE 12 E-PRESCRIPTION SOFTWARE SUPPLIERS MARKET FOR E-PRESCRIBING SOFTWARE, 2013-2019
TABLE 13 U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES, THROUGH 2019 ($ MILLIONS)
FIGURE 7 U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS, 2013 (%)
CHAPTER 9 PICTURE ARCHIVING AND COMMUNICATIONS TECHNOLOGIES
AND MARKETS
SUMMARY
FIGURE 8 U.S. PACS TECHNOLOGY MARKET, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
ARCHITECTURES
In-house PACS
Web-based PACS
DICOM and Web-based PACS
INTEGRATED PACS/RIS
ENTERPRISE PACS
PACS STORAGE AND ARCHIVING
Advanced Storage Technologies
Holographic Storage
Digital Image Compression
Cloud-Based Storage
SUPPLIERS
TABLE 14 PACS TECHNOLOGY SUPPLIERS MARKET FOR PACS TECHNOLOGIES, 2013-2019
TABLE 15 U.S. MARKET FOR PACS, THROUGH 2019 ($ MILLIONS)
CHAPTER 10 LABORATORY INFORMATION SYSTEMS TECHNOLOGIES AND MARKETS
SUMMARY
FIGURE 9 U.S. LABORATORY INFORMATION SYSTEM MARKET, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
INTEROPERABILITY ISSUES
LIS-CPOE Interoperability
LIS-CDSS Interoperability
LIS-EHR Interoperability
DATA STANDARDS
SUPPLIERS
TABLE 16 LABORATORY INFORMATION SYSTEM SUPPLIERS
MARKET FOR LABORATORY INFORMATION SYSTEMS TECHNOLOGIES, 2013-2019
TABLE 17 U.S. MARKET FOR LIS, THROUGH 2019 ($ MILLIONS)
CHAPTER 11 CLINICAL DECISION SUPPORT TECHNOLOGIES AND
MARKETS
SUMMARY
FIGURE 10 U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
KNOWLEDGE-BASED SYSTEMS
Expert Systems
Probabilistic Systems
Bayesian Networks
Heuristic Systems
NON-KNOWLEDGE-BASED SYSTEMS
Artificial Neural Networks
Genetic Algorithms
WORKFLOW INTEGRATION
SUPPLIERS
TABLE 18 CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS MARKET FOR CLINICAL DECISION SUPPORT TECHNOLOGIES, 2013-2019
TABLE 19 U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH 2019 ($ MILLIONS)
CHAPTER 12 TELEMEDICINE TECHNOLOGIES AND MARKETS
SUMMARY
FIGURE 11 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2013-2019 ($ MILLIONS)
TECHNOLOGIES
VIDEOCONFERENCING TECHNOLOGIES
Realtime, Store-and-Forward and Hybrid Teleconferencing
IP-based Videoconferencing
Peripheral Devices
HOME TELEMETRY TECHNOLOGIES
Telehomecare
Mobile Phone-based Technologies
Bluetooth
Signal Transmission via Human Skin
ZigBee
SUPPLIERS
TABLE 20 TELEMEDICINE EQUIPMENT AND TECHNOLOGY SUPPLIERS
MARKETS
TABLE 21 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, THROUGH 2019 ($ MILLIONS)
FIGURE 12 TELEMEDICINE TECHNOLOGY MARKET SEGMENTS, 2013-2019 (%)
CHAPTER 13 INDUSTRY STRUCTURE
NUMBER AND SIZE OF FIRMS
FIGURE 13 CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY ANNUAL SALES REVENUES, 2013 (%)
PRODUCT SPECIALIZATION
FIGURE 14 CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION (%)
MERGER AND ACQUISITION TRENDS
CHAPTER 14 COMPANY PROFILES
AGFA HEALTHCARE
AKELEX
ALLSCRIPTS HEALTHCARE SOLUTIONS INC.
AMAZING CHARTS LLC
AMD GLOBAL TELEMEDICINE
CARESTREAM HEALTH INC.
CARETRENDS
CERNER CORP.
CYBERNET SYSTEMS CORP.
DATALOGIC SPA
DIGICHART INC.
DRFIRST
FUJIIFILM MEDICAL SYSTEMS USA INC.
GE HEALTHCARE
GEMMS
GLOBALMEDIA GROUP LLC
HEALTHLAND
HIGHFLEET INC.
ISABEL HEALTHCARE INC.
LIFEWATCH AG
LOGICAL IMAGES INC.
MASSACHUSETTS GENERAL HOSPITAL
MCKESSON CORP.
MEDRX
MERGE HEALTHCARE INC.
M*MODAL
MICROSOFT CORP.
NCD MEDICAL CORP.
NUANCE COMMUNICATIONS INC.
OBS MEDICAL LTD.
PHILIPS HEALTHCARE
POLYCOM INC.
POSITIVEID CORP.
SCOTTCARE CORP.
SIEMENS HEALTHCARE
SURESCRIPTS LLC
TELEVITAL
THERADOC INC.
UNITED THERAPEUTICS CORP.
ZYNX HEALTH INC.
CHAPTER 15 APPENDIX: PATENT ANALYSIS
FIGURE 15 U.S. CLINICAL HEALTHCARE IT PATENTS ISSUED SINCE 1975 (%)
FIGURE 16 U.S. CLINICAL HEALTHCARE IT PATENT APPLICATIONS PENDING AS OF JANUARY 15, 2015 (%)

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