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US Ambulatory Electronic Health Record Market: 2015–2020

US Ambulatory Electronic Health Record Market: 2015 - 2020

The objective of this research service is to present a comprehensive analysis of the US ambulatory electronic health record (EHR) market with respect to market potential and key market dynamics at play over the next 5 years.

The regional scope of the analysis is focused on the United States.

The study period covered by this service for the US ambulatory EHR market is from 2014 to 2020. The forecast period is from 2015 to 2020, with 2015 as the base year.

The study describes and defines the US ambulatory EHR market, factors driving the need to adopt EHR across the care continuum, challenges impacting the market, outlook for the adoption of ambulatory EHR among key segments, forecasts for overall market growth over a 6-year period, and opportunities within the total market and key segments as estimated for the forecast period.

About this report

This study analyzes trends in the US ambulatory electronic health records (EHR) market, predicts changes in market measurements through 2020, and provides an analysis of challenges facing market participants. Value-based reimbursement provisions, payer consolidation, and EHR optimization agendas will accelerate adoption among ambulatory practices. Large practices and hospitals will continue to acquire smaller practices to maintain profitability and enhance market share. On-premise EHR’s lack of productivity and low return on investment will compel practices to switch to cloud-based platforms, which are cost competitive in the short term, remotely accessible, and more compatible to practice healthcare information technology.


  • Methodology
  • Executive Summary
    • Key Findings-What Triggered EHR Adoption
    • Ambulatory EHR Market-Major Issues and Developments
    • Key Findings-Supply Market Outlook and Ambulatory EHR Revenue Forecast
    • Key Market Drivers and Restraints
    • Scope and Segmentation
    • Key Questions this Study will Answer
    • Market Engineering Measurements
    • CEO's Perspective
    • Executive Summary-3 Big Predictions
  • Market Overview
    • Market Background
    • Market Snapshot-HCIT
    • Digital Health Market Segmentation-First Level
    • EHR Market Segmentation
    • Solo/Partner Ambulatory Practices-Snapshot
      • Table Market Share of Top 5 Vendors (2015)
    • Small-to-medium Ambulatory Practices-Snapshot
      • Table Market Share of Top 5 Vendors (2015)
    • Large Ambulatory Practices-Snapshot
      • Table Market Share of Top 5 Vendors (2015)
  • Introduction to US Physician Practices
    • US Physician Practice-Market Evolution
    • US Physician Practice Demographics
    • Patient Visit Statistics-Optimistic and Exponential
    • Growth of US Physician Supply-Highly Restricted
      • Table Ambulatory EHR Market: Projected Physician Supply, US, 2013-2020
    • US Physician Supply-Likely to Receive Regulatory Impetuses
      • Table Ambulatory EHR Market: Projected Physician Supply and Demand, US, 2013-2020
    • Percent of Ambulatory Physicians by Practice Size
      • Table Ambulatory EHR Market: Percent of Ambulatory Physicians by Practice Size, US, 2014-2020
  • Introduction to EHR
    • EHR Optimization Objectives-Consistent with Changing Clinical Quality Measures
    • EHR Technology Migration Roadmap
    • EHR Maturity Stages
    • EHR Perceived as a PHM Enabler
    • Perceived EHR Benefits Accelerated Adoption
    • EHR Adaptation across Ambulatory Practice Sizes-Exponential and Consistent
      • Table Ambulatory EHR Market: EHR Penetration across Ambulatory Practice Sizes, US, 2014-2020
    • EHR Adoption-Maturing but with a Significant Scope for Improvement
      • Table Ambulatory EHR Market: Percent of Providers Adopting Any, Basic, and Fully Functional EHR, US, 2006-2013
    • Reasons for Low MU Stage 2 Adoption
    • MU Stage 2 Capability Improvement-2010 and 2013
    • Reasons for EHR Adoption and Replacement Complement Each Other
    • Top EHR Benefits and Concerns
    • US Government-Keen to Establish EHR Adoption Maturity
    • EHR Penalty Exemption Outlook
    • Most Preferred EHR Features
    • EHR Top 3 Challenges
    • ICD-10 Readiness
    • Demonstrating MU for 365 Days
    • Complying with Changing EHR Audit Measures
    • CMS Relaxes EHR MU Measures to Mitigate Challenges
    • Distribution Structure
    • Adoption of EHR Technology Platforms
    • Five Characteristics of an Ideal EHR Environment
  • EHR Pricing
    • EHR Pricing Model
    • EHR Pricing TCO
    • Price Analysis-On-premise versus Cloud-based EHR: Base Year and Recurring Price
    • Base Year Price Comparison-On-premise versus Cloud-based EHR for Small-to-medium Practices
    • Base Year Price Comparison-On-premise versus Cloud EHR for Large Practices
    • TCO-On-premise versus Cloud-based EHR
      • Table Ambulatory EHR Market: TCO-On-Premise vs. Cloud-based EHR for Limited Requirement, US, 2015
      • Table Ambulatory EHR Market: TCO-On-premise vs. Cloud-based EHR for Comprehensive Requirement, US, 2015
  • Drivers, Restraints, and Trends-Ambulatory EHR Market
    • Market Drivers
    • Drivers Explained
    • Market Restraints
    • Restraints Explained
  • Forecasts and Trends-Ambulatory EHR Market
    • Market Engineering Measurements
      • Table Ambulatory EHR Market: Market Engineering Measurements, US, 2015
    • Forecast Assumptions and Definitions
    • Forecast Assumptions
    • Revenue Forecast
      • Table Ambulatory EHR Market: Revenue Forecast, US, 2014-2020
    • Revenue Forecast Discussion
    • Percent Revenue Forecast by Segment
      • Table Ambulatory EHR Market: Percent Revenue Forecast by Segment, US, 2014-2020
    • Revenue Forecast by Segment
      • Table Ambulatory EHR Market: Revenue Forecast by Segment, US, 2014-2020
    • Revenue Forecast by Segment Discussion
  • Demand Analysis
    • Penetration Analysis-Ambulatory EHR for Solo/Partner Practices
    • Penetration Analysis-Ambulatory EHR for Small-to-medium Practices
    • Penetration Analysis-Ambulatory EHR for Large Practices
    • Penetration Analysis-Ambulatory EHR for Other Practices
  • Segment Analysis
    • Market Engineering Measurements-Ambulatory EHR for Solo/Partner Practices
      • Table Ambulatory EHR Market: Market Engineering Measurements for Solo/Partner Practices, US, 2015
    • Revenue Forecast-Ambulatory EHR for Solo/Partner Practices
      • Table Ambulatory EHR Market: Revenue Forecast for Solo/Partner Practices, US, 2014-2020
    • Market Engineering Measurements-Ambulatory EHR for Small-to-medium Practices
      • Table Ambulatory EHR Market: Market Engineering Measurements for Small-to-medium Practices, US, 2015
    • Revenue Forecast-Ambulatory EHR for Small-to-medium Practices
      • Table Ambulatory EHR Market: Revenue Forecast for Small-to-medium Practices, US, 2014-2020
    • Market Engineering Measurements-Ambulatory EHR for Large Practices
      • Table Ambulatory EHR Market : Market Engineering Measurements for Large Practices, US, 2015
    • Revenue Forecast-Ambulatory EHR for Large Practices
      • Table Ambulatory EHR Market: Revenue Forecast for Large Practices, US, 2014-2020
    • Market Engineering Measurements-Ambulatory EHR for Other Practices
      • Table Ambulatory EHR Market : Market Engineering Measurements for Other Practices*, US, 2015
    • Revenue Forecast-Ambulatory EHR for Other Practices
      • Table Ambulatory EHR Market: Revenue Forecast for Other Practices, US, 2014-2020
    • Ambulatory EHR for Practices Discussion
  • Competitive Environment
    • Competitive Structure
    • Recent Notable Deals
    • Ambulatory EHR Market-Key Companies to Watch
    • Vendor Selection Methodology-Follow 3 Steps to Ensure Strategic Sourcing
    • Functional Capabilities-Top Ambulatory EHR Vendors
    • Vendor Engagement-Fragmented among Ambulatory Practices
    • Top 10 Ambulatory EHR Vendors in Order of Market Share
    • Largest EHR Vendors Drive Highest Ambulatory MU Attestation
    • EHR Vendor Performance on Client Value Parameters
    • Comparative Analysis-EHR Vendor Performance
    • Consolidated Ranking-Ease of Use
      • Table Ambulatory EHR Market: Consolidated Ranking-Ease of Use, US, 2014
    • Consolidated Ranking-Client Support
      • Table Ambulatory EHR Market: Consolidated Ranking-Client Support, US, 2014
    • Consolidated Ranking-Interoperability
      • Table Ambulatory EHR Market: Consolidated Ranking-Interoperability, US, 2014
    • Consolidated Ranking-Clinical Usability
      • Table Ambulatory EHR Market: Consolidated Ranking-Clinical Usability, US, 2014
    • athenahealth, Inc
    • Amazing Charts
    • eClinicalWorks
    • NextGen Healthcare Information Systems, LLC
    • McKesson Provider Technologies
    • EPIC Systems
    • Cerner Corporation
    • Allscripts
    • Practice Fusion
    • GE Healthcare
  • The Last Word
    • 3 Big Predictions
  • Appendix
    • Market Engineering Methodology
    • List of Acronyms Used
    • Sources

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