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EMR 2012-16: The Market for Electronic Medical Records


Attention: There is an updated edition available for this report.

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.

As with all Kalorama products, the price listed is a single user license, intended for one person in an organization.  Global and department licenses are available for companies that can benefit from more than a single user.


  • Executive Summary
    • INDUSTRY AT A GLANCE
    • PHYSICIAN USE OF EMR
    • HOSPITAL USE OF EMR
    • SIZE AND GROWTH OF THE MARKET
      • Table EMR Market Analysis, 2009-2011 (in millions of dollars at the manufacturer's level)
      • Table Forecasted EMR Market Analysis: 2012-2016 (in millions of dollars at the manufacturer's level)
    • KEY ISSUES AND TRENDS AFFECTING THE MARKET
    • LEADING MARKET PARTICIPANTS
    • CONCLUSIONS
    • SCOPE AND METHODOLOGY
  • Industry Overview
    • INTRODUCTION
    • THE MEDICAL RECORD
    • THE ELECTRONIC MEDICAL RECORD
    • INDUSTRY TERMINOLOGY
      • Table Terminology Comparison Matrix
    • INDUSTRY STRUCTURE
      • Table Physician Adoption of EMRs 2006-2011 (Basic System and Fully Functional System)
      • Table Percentage of Office-based Physicians Using Select EMR Features
      • Table Percentage Installation of Various Clinical Applications in Hospitals (US, 2009)
    • 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
      • Table Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2011)
      • Table Total Cost Range for EMR/PMS Installations (2011)
      • Table Two-year Total Cost for EMR/PMS Installations/Subscriptions 2009-2011 Selected Products (not including team costs)
      • US EMR Adoption Model
        • Table US EMR Hospital Adoption Model
      • EMR Adoption Rates
        • Table Ownership vs Non-ownership Adoption Rates 2010
        • Table Doctors Office Adoption Rates 2011
  • Emerging Trends
    • MEANINGFUL USE
    • ECONOMIC STIMULUS PACKAGE
      • Table HITECH ACT - Subsidy Plan
    • STIMULUS GUARANTEE
    • CHALLENGES TO HEALTHCARE REFORM
    • VIRTUALIZATION TECHNOLOGY
    • STORAGE AREA NETWORKS
    • CLOUD COMPUTING
    • DASHBOARD MODULES
    • MERGERS AND ACQUISITIONS
      • Table 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
      • Table AAFP Most Commonly Cited EMR Companies Results 2011
      • Table ACP /American EHR Partners Cited Companies List
    • INTEROPERABILITY
      • Dimensions of Interoperability
      • Benefits
    • SMART CARDS TECHNOLOGY
    • WIRELESS TECHNOLOGIES
    • OPEN SOURCE EMRAPPLICATIONS
      • 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
        • Table Cost Break-up for a Typical One-Physician Practice (5-year period)
      • EHR Incentive Program
        • Table EHR Incentive Program Payments 2011
      • Implementation Costs and ROI for Hospitals
      • Summary
    • PRIVACY ISSUES
    • TECHNOLOGY LIMITATIONS
      • Social and Organizational Barriers
    • E-PRESCRIBING
    • CCHIT
      • Table Vendor Product Certifications 2006
      • Table CCHIT 2007 Vendor Certifications
      • Table CCHIT 2008 Vendor Certifications
      • Table EMR/EHR Certifications 2010
      • Table Modular System Certifications 2010
      • Table System Certification in 2011
    • NHIN
    • RESULTS OF WAL-MART AND DELLLAUNCHES
    • DIRECT PPC OFFERINGS
    • HEALTHCARE SPENDING US AND INTERNATIONAL
      • Europe Asia, and Other EMR Markets
      • The US Market
  • Leading Market Participants
    • Table Mergers and Acquisitions 2010-2011
    • 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
    • SIEMENSMEDICAL SOLUTIONS
  • 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
  • Market Analysis
    • MARKET OVERVIEW
      • Table EMR Market Analysis, 2009-2011 (in millions of dollars at the manufacturer's level)
      • Table Forecasted EMR Market Analysis: 2012-2016 (in millions of dollars at the manufacturer's level)
    • MARKET BY SEGMENT
      • Table Hospital EMR Market Analysis 2009-2011 (in millions of dollars at the manufacturer's level)
      • Table Forecasted Hospital EMR Market Analysis: 2012-2016 (in millions of dollars at the manufacturer's level)
      • Table Physician/Web-based EMR Market Analysis 2009-2011 (in millions of dollars at the manufacturer's level)
      • Table Forecasted Physician/Web-based EMR Market Analysis: 2012-2016 (in millions of dollars at the manufacturer's level)
      • Competitive Analysis
        • Table Notable Companies
        • Table Revenues and Market Share of EMR Providers 2011
      • Hospital Market Leaders
      • Physician Office EMR Market Leaders
  • Conclusions
    • OVERVIEW
    • ONE: PHYSICIAN PRACTICES STILL HIGH GROWTH AREA
    • TWO:MEANINGFUL USE CONFUSION STILL AFACTOR FOR INDUSTRY
    • THREE: NO CLEAR LEADER STILL, OPPORTUNITY FOR NEW PLAYERS
    • FOUR: EXPECT MOREMERGERS AND ACQUISITIONS
    • FIVE: INTEROPERABILITY AMAJOR HURDLE
    • SIX: PREFFECT OF BREACHES DOWNSIDE FOR INDUSTRY
    • SEVEN: USABILITY AND DATA ENTRY AN UNDER THE RADAR ISSUE.
    • EIGHT: OPPORTUNITY FOR TELECOMS
    • NINE: "STICK"WILL BEMORE EFFECTIVE THAN "CARROT" IN DOCTOR CONVERSION
    • TEN: CPOE AND OTHER FEATURES SELL EMR SYSTEMS
    • ELEVEN: HOSPITAL EMR INCENTIVES FACTOR IN GROWING MARKET
    • TWELVE: TECHNOLOGY MOVING FASTER THAN EMR TECHNOLOGY PROVIDERS
    • THIRTEEN: DATA STORAGE CONCERNS- TOP FOCUS
  • Definition of Industry Products
  • List of Select Major Companies

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