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EMR 2010 (Market Analysis, ARRA Incentives, Key Players, and Important Trends)


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

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.


News Since Report Publication

Allscripts-Eclipsys Deal a “Significant Event” In EMR Market - Kalorama

NEW YORK - June 9th - A ‘significant event’ in the EMR market has occurred with the purchase of Atlanta-based Eclipsys by Allscripts, a Chicago-based company, according to healthcare market research publisher Kalorama Information. The company has been publishing detailed studies on the 13.8 billion dollar EMR market for the past four years, and sees the purchase as a plausible attempt to unite a market where currently, hospitals and physicians choose from a wide range of vendors..

“We talk in our study about how there was no clear market leader in EMR; and a there was a window for new entrants to enter the market,” said Bruce Carlson, Publisher of Kalorama Information. “This deal doesn’t close that window, but perhaps the opening just got a little smaller.”

According media reports, the purchase will be conducted in an all-stock deal valued at about $1.3 billion. The combined company would have 5,500 employees. Allscripts CEO Glen Tullman will serve as CEO of the combined company, with Eclipsys President and CEO Phil Pead taking the chairman’s title.

In its existing form, Allscripts was a well-recognized and successful names in the physician EMR market, according to Kalorama’s most recent report on the market, EMR 2010, published earlier this year before the purchase was announced. The company ranked in the top three in name recognition surveys along with Epic and Centricity. The report also indicated that in the category of “physician office and web-based sales” of EMR software (excluding large hospital/health system sales), Allscripts was the number one company in the segment. Allscripts provides electronic health records software primarily to physicians practices and post-acute organizations, and claims 180,000 physician clients. The Eclipsys purchase brings them nearly 1,500 hospital customers, which Kalorama sees as significant.

“It’s logical to match these companies up since Allscripts has physicians and Eclipsys reaches into hospitals and health systems as well,” said Carlson. “Despite Allscript’s name recognition in the physician market, it would have been hard for any company to maintain leadership in EMR without reaching into the hospital space as well. It’s not easy to break into the hospital EMR market, so acquisition was the logical play here.”

The company still faces challenges including the blending of their software offerings and as a combined concern will face competition from McKesson, Cerner, GE Healthcare, as well as Dell Microsystems which recently entered the EMR market. The EMR industry collectively faces the challenge of incorporating “meaningful use” guidelines into vendor offerings in a way that will encourage physicians to use EMR at greater rates than currently seen.

Kalorama Information’s report, EMR 2010, written before the Allscripts-Eclipsys contains more information on the EMR Market including market forecasts, market segments, pricing information, profiles of the top vendors in the market and more information.

  • Executive Summary
    • INDUSTRY AT A GLANCE
    • SCOPE AND METHODOLOGY
    • SIZE AND GROWTH OF THE MARKET
      • Table EMR Market Analysis, 2006-2008 (in millions of dollars at the manufacturer's level)
      • Table Forecasted EMR Market Analysis: 2009-2013 (in millions of dollars at the manufacturer's level)
    • PHYSICIAN USE OF EMR
    • KEY ISSUES AND TRENDS AFFECTING THE MARKET
    • LEADING MARKET PARTICIPANTS
    • CONCLUSIONS
  • Industry Overview
    • INTRODUCTION
    • THE MEDICAL RECORD
    • THE ELECTRONIC MEDICAL RECORD
    • INDUSTRY TERMINOLOGY
      • Table Terminology -EMR,EHR, PHR
    • INDUSTRY STRUCTURE
    • PHYSICIAN USE OF EMR
      • Table Physician Use of EMR - Multiple Surveys (CDC, NEJM, HIMSS, SK&A, Commonwealth)
      • Table Age-wise Percentage Distribution of Office-based Physicians Using EMR (US, 2006-2007)
      • Table Percentage Distribution of Office-based Physicians Using EMR by Practice Characteristics (US, 2007)
      • Table Location Characteristics of Office-based Physicians 2007 (US, 2007)
      • The `Ideal EMR-Enabled Physician'
        • Table Percentage of Office-based Physicians Using Select EMR Features (US, 2006)
        • Table Percentage Installation of Various Clinical Applications in Hospitals (US, 2006)
        • Table Hospitals Automated or Contracted for EMR, CDR, CPOE, LIS, PMS, POC, RIS, and Radiology PACS (US, 2006)
        • Table EMR System Implementation Rate across Various Operating Room Environments (US, 2005)
    • 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 (2005-2008)
      • Table Total Cost Range for EMR/PMS Installations (2005)
      • Table Two-year Total Cost for EMR/PMS Installations/Subscriptions 2005-2007 Selected Products
  • ROI, Physician Opinion, Incentives and Other Tends
    • ECONOMIC STIMULUS PACKAGE
      • Table HITECH ACT - Subsidy Plan
    • VENDOR STIMULUS GUARANTEE
    • CLOUD COMPUTING
    • DISCREET RECORDABLE TRANSCRIPTION
    • NATIONAL PHYSICIAN EDUCATION PROGRAM
    • THE PERSONAL HEALTH RECORD SYSTEM
    • DOCTOR'S SURVEY
      • Table Survey of Physicians -EMR System Used
      • Table Ratings of EMR Systems
    • 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
        • Table Cost Break-up for a Typical One-Physician Practice (5-year period)
      • Implementation Costs and ROI for Hospitals
      • Summary
        • Table Total Implementation Cost for All Healthcare Systems, Physicians and Hospitals (Low End, High End, Average Cost)
    • PRIVACY ISSUES
    • TECHNOLOGY LIMITATIONS
      • Social and Organizational Barriers
    • CCHIT
      • Table CCHIT 2006 Vendor Certifications
      • Table CCHIT 2007 Vendor Certifications
      • Table CCHIT 2008 Vendor Certifications
    • NHIN
    • MEGA COMPUTER GIANT DELL MARKET ENTRY
    • INTERNATIONAL MARKETS AND TRENDS
      • European Union and Asia-Pacific Markets
      • The US Market
    • DIRECT PPC OFFERINGS
  • Company Profiles
    • ABRAXAS MEDICAL SOLUTIONS
    • ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Key Competitors
      • Key Executives
    • AMAZING CHARTS.COM INC
    • CERNER CORPORATION
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
      • Locations
    • CHARTLOGIC, INC
    • COMPUTER PROGRAMS AND SYSTEMS, INC.
      • Company Overview
      • Performance Review
      • Products and Services
      • Key Competitor
      • Growth Strategy
      • Locations
    • DELL
    • ECLINICALWORKS
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances and Partnerships
      • Products and Services
      • Growth Strategy
    • ECLIPSYS CORPORATION
      • Company Overview
      • Performance Review
      • Key Acquisitions, Mergers, and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
      • Locations
    • E-MDS, INC.
    • EMEDON
    • EPIC SYSTEMS, INC.
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
      • Locations
    • GE HEALTHCARE
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
      • Locations
    • GREENWAY MEDICAL TECHNOLOGIES
    • MDTABLET.COM
    • MEDITECH, (MEDICAL INFORMATION TECHNOLOGY, INC.)
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
      • Locations
    • MEDPLUS, INC.
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
      • Locations
    • MCKESSON CORPORATION
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Service
      • Key Competitors
      • Growth Strategy
      • Locations
    • NEXTGEN HEALTHCARE INFORMATION SYSTEMS/QSI
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
    • QUADRAMED CORPORATION
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances and Partnerships
      • Products and Services
      • Key Competitors
      • Growth Strategy
    • SIEMENS MEDICAL SOLUTIONS
      • Company Overview
      • Performance Review
      • Key Acquisitions, Alliances, and Partnerships
      • Products and Service
      • Key Competitors
      • Growth Strategy
      • Locations
    • SYNAMED
  • Market Analysis
    • MARKET OVERVIEW
      • Table EMR Market Analysis, 2006-2008 (in millions of dollars at the manufacturer's level)
      • Table Forecasted EMR Market Analysis: 2009-2013 (in millions of dollars at the manufacturer's level)
      • Competitive Analysis
        • Table Revenues and Market Share of EMR Providers 2008
    • MARKET SEGMENTATION
      • Hospital Market
        • Table Hospital-based Competitive Analysis 2008
      • Office and Web-Based
        • Table Office and Web-Based Competitive Analysis 2008
  • Conclusions
    • Conclusion One - Physician Market is Growth Area
      • Conclusion Two - Cost Savings a Driver Only For Those Who Save Most
      • Conclusion Three - No Clear Leader and Room for New Entrants
      • Conclusion Four - Vendor Actions are as Important as Government Incentives
      • Conclusion Five - "Stick" Will Be More Effective Than "Carrot" in Doctor Conversion
      • Conclusion Six - CPOE and Other Features Sell EMR Systems
      • Conclusion Seven - Interoperability and Functionality a Greater Obstacle Than Costs
      • Conclusion Eight - Hardware Critical to EMR Adoption
  • Definition of Industry Products

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