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EMR 2015: The Market for Electronic Medical Records, Forecasts to 2019

EMR 2015: The Market for Electronic Medical Records



This Kalorama Information report, EMR 2015: The Market for Electronic Medical Records, is the resource that electronic medical records (EMR) companies use for business planning, benchmarking, and opportunity analysis.  This 490-page report is a complete global analysis of the EMR / EHR market.  The eighth annual report concluded on this topic since 2007, EMR 2015 includes the important trends that will affect EMR companies offering software, hardware and services.

EMR System Vendors Market Share, Physician Adoption, International EMR Markets, and EMR Market Trends 


This market analysis is global, though trend analysis focuses on the US as the largest healthcare market and the most incentivized for EMR conversion. As government policy approaches the turning-point on incentives in the electronic medical services market, and as a large shift in vendor market share occurs and new vendors play a larger role, it is an interesting time for market-watchers. How much has the EMR/EHR market grown? How have the incentives worked? Where is physician usage now? How about hospital adoption? Where do the top vendors stand now? Kalorama answers these questions and brings sharp analysis to recent trends. 

As part of its coverage, the EMR 2015: The Market for Electronic Medical Records contains: 

Current Global Market Estimates for EMR 
Historic Market Growth since 2012 
Market Share of Top Vendors 
Regulatory Trends 
International Market Sizing: Japan, United Kingdom, 
        China, Germany, UK Australia, India,  France, Brazil and Other Markets for EMR 
Market Forecasts to 2019 
Breakout of Hospital EMR Market and Physician/Web EMR Market 
Breakouts of EMR Market Segments (Consulting, Software, Hardware) 
Profiles of Major Vendors and Smaller Companies to Watch 
Analyst Conclusions   

Relevant Market Segment Estimates: EMR for Hospitals, EMR for Physicians, EMR Software, Hardware and Services Markets


EMR 2015: The Market for Electronic Medical Records, Forecats to 2019 estimates the size of the market for the EMR hospital and EMR physician market segments, and reviews usage trends among hospitals and physicians. It also forecasts the EMR market into 2018.  Included in the report are statistics influencing the electronic medical records services industry, demographics, life expectancy, and company strategies. Market share is provided for top players in the industry. Revenues are reported based on worldwide figures with a focused view on US competitors and US trends. 

EMR Market Primary Issues


There are several primary issues and trends affecting the electronic medical records (EMR) industry. New marketing strategy, new regulations, increased usage will continue to fuel growth in the future. But there are also challenges from vendor switches, usability and unexpected effects of EMR systems in hospitals. Issues and trends explored in EMR 2015: The Market for Electronic Medical Records, Forecasts to 2019 include: 

Vendor Switches Looming: Who Will Win? 
EMR Mergers and Acquisitions 
Doctor Opinion of EMR Systems 
Patient Access – Blue Button Technology 
Virtualization Technology 
Interoperability 
Hybrid Healthcare Clouds 
Interoperable Devices 
BYOD Accelerates 
Big Data 
Personnel Issues 
Security Breaches/Portable Devices 
ICD-10 controversy 
Industry Survey Results 
Smart Cards Technology 
Usability And Adoption 
E-Prescribing 
CCHIT Certifications 
Direct Pay-Per-Click (PPC) Offerings 
Global Healthcare Spending Trends 

EMR Company Profiling and Analysis


The electronic medical records market in the United States is competitive, with over 400 providers; however, increasing mergers and acquisitions in the industry will result in the reduction in the number of EMR providers. Companies remain competitive by offering high-quality solution packages to private practices and hospitals. However, there is still ample opportunity for other companies and new entrants. There is still not a single system that is complete with true interoperability. The main drawback for smaller electronic medical records companies is the cost to enter the market with a certified product. EMR providers examined in the report include:

4Medica 
ADP AdvancedMD 
ALERT LIFE SCIENCES COMPUTING S.A 
Allmeds 
Allscripts Healthcare Solutions 
Amazing Charts 
Aprima Medical Software, Inc 
athenahealth, Inc. 
BizMatics, Inc. 
CAMBIO HEALTHCARE SYSTEMS 
CARECLOUD 
Cerner Corporation 
ChartLogic 
Compugroup Medical 
Computer Programs and Systems, Inc. 
CSC 
CureMD 
Dr First/Rcop 
Dr First/Rcop 
eClinicalworks 
Egton Medical 
e-MDs 
Epic Systems Corporation 
GE Healthcare 
Greenway Medical Technologies 
HealthFusion, Inc 
Healthland 
Henry Schein 
IMS MAXIMS 
KAREO 
McKesson Corporation 
MedHost 
Meditab Software Inc 
Medical Information Technology, Inc. (MEDITECH, Inc.) 
Medent Community Computer Service, Inc 
Medsphere Systems 
MeridianEMR, Inc 
Microtest 
NextGen Healthcare Information Systems /Quality Systems Inc 
Nextech 
Nightingale Infomatix Corporation 
Noemalife S.P. A. 
Nuesoft Technologies Inc 
Practice fusion 
Quadramed Corporation 
Quality Systems, Inc. 
PRAXIS 
Quest diagnostics, Inc 
SAP AG 
Sequel Systems, Inc 
Siemens Medical Solutions 
Streamline MD 
Tieto 
WRS Health (Waiting Room solutions) 
WPT



  • Executive Summary
    • INTRODUCTION
    • INDUSTRY AT A GLANCE
    • SCOPE AND METHODOLOGY
    • USE OF EMR
      • Percentage and Increase of Physician Usage of EMR
    • HOSPITAL USE OF EMR
    • SIZE AND GROWTH OF THE MARKET
    • KEY ISSUES AND TRENDS AFFECTING THE MARKET
    • LEADING MARKET PARTICIPANTS
    • CONCLUSIONS HIGHLIGHTS
  • Industry Overview
    • INTRODUCTION
    • THEMEDICAL RECORD
    • THE ELECTRONIC MEDICAL RECORD
    • INDUSTRY TERMINOLOGY
      • Table Terminology Comparison Matrix
    • INDUSTRY STRUCTURE
      • Physician-based/Ambulatory EMR Services
        • Table Physician Adoption of EMRs 2006-2014 (Basic System and Fully Functional System)
        • Table State Percentage Distribution of Office-based Physicians Using EMR (US) by State 2013-2014
        • Table Percentage Distribution of Office-based Physicians Using EMR by Age and Practice Characteristics (US, 2012)
        • Table Physician Usage by US Region (2014)
      • Hospital-based EMR Services
        • Table State Percentage Distribution of Non-federal Acute Care Hospitals Using EMR (US) by State 2013
    • ADVANTAGES
      • Increased Access and Efficiency
      • Improved Documentation
      • Quality of Care
      • Increased Resources
      • Quality Assurance
      • Eliminates Costs
    • DISADVANTAGES
      • Reliability
      • Accountability
      • Patient Privacy
      • EMR Software
      • 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 (2013-2014)
        • Table Total Cost Range for EMR/PMS Installations (2013-2014)
        • Table Estimated Two-year Total Cost for EMR/PMS Installations/Subscriptions 2010-2014 Selected Products (estimates)
      • US EMR Adoption Model
        • Table US EMR Hospital Adoption Model 2014
        • Table Canada EMR Hospital Adoption Model 2014
        • Table US Ambulatory EMR Adoption Model 2014
        • Table Ownership vs. Non-ownership Adoption Rates 2012-2014
        • Table Doctors Office Adoption Rates 2011-2014 (%)
  • Emerging Trends
    • MEANINGFUL USE
      • Table Attestation Details in 2014
    • ECONOMIC STIMULUS PACKAGE
      • Table Medicare EHR Incentive Payment Schedule
      • Table Medicaid EHR Incentive Payment Schedule
    • STIMULUS GUARANTEE
    • INFORMATION OVERLOAD
    • PATIENT ACCESS - BLUE BUTTON TECHNOLOGY
    • VENDOR SWITCHES LOOMING
    • MERIT BASED INCENTIVE PAYMENT SYSTEM
    • VIRTUALIZATION TECHNOLOGY
    • STORAGE AREA NETWORKS
    • INTEROPERABILITY
      • Types of Interoperability
        • Table Three Types of Interoperability
      • Dimensions of Interoperability
      • Benefits
    • CLOUD COMPUTING
    • HYBRID HEALTHCARE CLOUDS
    • INTEROPERABLE DEVICES
    • BYODACCELERATES
    • DASHBOARD MODULES
    • BIG DATA
    • RISE OF EPIC
    • ONC INTEROPERABILITY GUIDELINES DRAFT
    • MERGERS AND ACQUISITIONS
      • Table Mergers and Acquisitions
    • PROFESSIONAL SPORTS ORGANIZATIONS USING EMRS
    • STARK LAW
    • DISCREET RECORDABLE TRANSCRIPTION
    • HEALTH INFORMATION EXCHANGE UPDATE
      • Table Number of HIEs in 2011 and 2012 by Top States
      • Table HIE Grants by State
    • REGIONAL EXTENSION CENTERS
      • Table 2014 Listing of Regional Extension Centers
    • PERSONNEL ISSUES
    • SECURITY BREACHES/PORTABLE DEVICES
    • FRAUD AND SECURITY SURVEILLANCE INCREASES
    • MOBILE ADOPTION
    • NETWORK FOR DOCTORS
    • NATIONAL PHYSICIAN EDUCATION PROGRAM
    • ICD-10 CONTROVERSY
      • Table Cost of Implementing ICD-10 2008 and 2014
    • PHYSICIAN POSITION AND USABILITY
      • Table EHR Patient Portal Usability Rating 2014 (Score on scale of 1-10 with 10 best)
    • ACCOUNTABLE CARE ORGANIZATIONS
    • THE PERSONAL HEALTH RECORD SYSTEM
    • INDUSTRY SURVEY RESULTS
      • Medscape
        • Table Top 5 Most Widely Used Physician EHRs 2012, 2014
        • Table Top Rated Physician EHRs Overall 2012, 2014
        • Table Physician Satisfaction with EHR Vendor
        • Table Switch or Keep EHR 2014
        • Table Privacy Concerns 2014
        • Table Meaningful Use Survey 2014
        • Table Type of EHR System by Practice Size 1-9 Physicians
        • Table Type of EHR System by Practice Size 10-24 Physicians
        • Table Type of EHR System by Practice Size 25+ Physicians
        • Table Cost per Physician to Purchase and Install EMR 2014
        • Table Monthly Fees per Physician Web-based System
      • Black Book Ratings
        • Table 2013 Black Book Ratings for Ambulatory Care Practices
      • KLAS Survey
        • Table 2014 Best in KLAS Award Ambulatory EMR (1-10 Physicians)
      • Captera Survey
        • Table Top 20 Vendors by Popularity
      • SK&A Survey
        • Table EHR Vendor Market Share by Practice Size 2014
        • Table Adoption by Selected Practice Specialties 2014
    • SMART CARDS TECHNOLOGY
    • WIRELESS TECHNOLOGIES
    • OPEN SOURCE EMRAPPLICATIONS
      • Benefits of Open Source EMR Applications
        • Table Top Free or Open Source EMR Products 2014
    • ADOPTION ISSUES
      • Table Physician Office National Level Adoption by Vendor
      • Table Regional Adoption by Vendor
    • USABILITY ANDADOPTION
    • QUALITY OF CARE/MALPRACTICE
    • 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 Select Program Payments 2012-2014 ($)
      • Implementation Costs and ROI for Hospitals
      • Summary
    • PRIVACY ISSUES
    • TECHNOLOGY LIMITATIONS
    • SOCIAL AND ORGANIZATIONAL BARRIERS
    • E-PRESCRIBING
      • Table Percent of Physicians e-Prescribing Using EHR December 2008 and April 2014
    • CCHIT
      • Certifications 2006
        • Table Vendor Product Certifications 2006
      • Certifications 2007
        • Table CCHIT 2007 Vendor Certifications
      • Certifications 2008
        • Table CCHIT 2008 Vendor Certifications
      • Certifications 2010
        • Table EMR/EHR Certifications 2010
        • Table Modular System Certifications 2010
      • Certifications in 2011
        • Table System Certification in 2011
      • Certifications in 2012
        • Table System Certification in 2012
      • Certifications in 2013
        • Table Select Ambulatory EMR Certified Products 2013
      • Certifications in 2014
        • Table Select Ambulatory EMR Certified Products 2014
    • NHIN (EHEALTH EXCHANGE)
    • DIRECT PAY-PER-CLICK (PPC) OFFERINGS
    • GLOBAL HEALTHCARE SPENDING TRENDS
      • Europe
        • Table EU Healthcare Expenditure as % of GDP by Top Countries
      • Asia Pacific
      • The US Market
  • Market Participants
    • Table EMR Mergers and Acquisitions 2010-2015
    • Table Selected Black Book Ratings
    • 4MEDICA
    • ADPADVANCEDMD
    • ALERT LIFE SCIENCES COMPUTING S.A
    • ALLMEDS
    • ALLSCRIPTS HEALTHCARE SOLUTIONS
    • AMAZING CHARTS
    • APRIMA MEDICAL SOFTWARE, INC
    • ATHENAHEALTH, INC.
    • BIZMATICS, INC.
    • CAMBIO HEALTHCARE SYSTEMS
    • CARECLOUD
    • CERNER CORPORATION
    • CHARTLOGIC
    • COMPUGROUP MEDICAL AG
    • COMPUTER PROGRAMS AND SYSTEMS, INC.
    • CSC
    • CUREMD
    • DR FIRST/RCOP
    • ECLINICALWORKS
    • EGTON MEDICAL INFORMATION SYSTEMS LIMITED
    • E-MDS
    • EPIC SYSTEMS CORPORATION
    • GE HEALTHCARE
    • GREENWAY MEDICAL TECHNOLOGIES
    • HEALTHFUSION, INC
    • HEALTHLAND
    • HENRY SCHEIN
    • IMSMAXIMS
    • INTERSYSTEMS CORPORATION
    • KAREO
    • MCKESSON CORPORATION
    • MEDHOST
    • MEDITAB SOFTWARE INC
    • MEDICAL INFORMATION TECHNOLOGY, INC. (MEDITECH, INC.)
    • MEDENT COMMUNITY COMPUTER SERVICE, INC
    • MEDSPHERE SYSTEMS
    • MERIDIANEMR, INC
    • MICROTEST LTD.
    • NEXTGEN HEALTHCARE INFORMATION SYSTEMS /QUALITY SYSTEMS INC
    • NEXTECH
    • NIGHTINGALE INFOMATIX CORPORATION
    • NOEMALIFE S.P.A.
    • NUESOFT TECHNOLOGIES INC
    • PRACTICE FUSION
    • QUADRAMED CORPORATION
    • QUALITY SYSTEMS, INC.
    • PRAXIS
    • QUEST DIAGNOSTICS, INC
    • SAP AG
    • SEQUEL SYSTEMS, INC
    • SIEMENSMEDICAL SOLUTIONS
    • STREAMLINE MD
    • TIETO
    • WRS HEALTH (WAITING ROOM SOLUTIONS)
    • WEBPT
  • Market Analysis
    • MARKET OVERVIEW
      • Table EMR Market Analysis, 2012-2014 (in millions of dollars at the manufacturer's level)
      • Table Forecasted EMR Market Analysis: 2015-2019 (in millions of dollars at the manufacturer's level)
    • MARKET BY REGION
      • United States
        • Table United States EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
      • EMEA
        • Table EMEA EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table United Kingdom EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Germany EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table France EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Spain EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Nordic Countries EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Middle East EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Africa EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Other EMEA EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
      • APAC
        • Table APAC EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Japan EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table China EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table India EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Australia EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Other APAC EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
      • Rest of World
        • Table Rest of World EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Rest of World EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
        • Table Canada EMR Market Analysis, 2014-2019 (in millions of dollars at the manufacturer's level)
    • MARKET BY SEGMENT
      • Table Hospital EMR Market Analysis 2012-2014 (in millions of dollars at the manufacturer's level)
      • Table Forecasted Hospital EMR Market Analysis: 2015-2019 (in millions of dollars at the manufacturer's level)
      • Table Physician/Web-based EMR Market Analysis 2012-2014 (in millions of dollars at the manufacturer's level)
      • Table Forecasted Physician/Web-based EMR Market Analysis: 2015-2019 (in millions of dollars at the manufacturer's level)
    • MARKET SEGMENT BY TYPE
    • COMPETITIVE ANALYSIS
      • Table Notable Companies by Healthcare Specialty Area 2014*
      • Table 2014 Top Vendor by State's Meaningful Use Attestations
      • Market Leaders
        • Table Revenues and Market Share of EMR Providers 2014
      • Hospital
      • Physician Office
  • Conclusions
    • OVERVIEW
    • PHYSICIAN PRACTICES STILL HIGH GROWTH AREA
    • MEANINGFUL USE CONFUSION STILL PLAGUES INDUSTRY
    • NO CLEAR LEADER STILL, OPPORTUNITY FOR NEW PLAYERS
    • MERGERS AND ACQUISITIONS
    • INTEROPERABILITY AMAJOR HURDLE
    • PREFFECT OF BREACHES DOWNSIDE FOR INDUSTRY
    • USABILITY AND DATA ENTRY AN UNDER THE RADAR ISSUE.
    • OPPORTUNITY FOR TELECOMS
    • "STICK"WILL BEMORE EFFECTIVE THAN "CARROT" IN DOCTOR CONVERSION
    • CPOEAND OTHER FEATURES SELL EMR SYSTEMS
    • HOSPITAL EMR INCENTIVES FACTOR IN GROWING MARKET
    • TECHNOLOGY MOVING FASTER THAN EMR TECHNOLOGY PROVIDERS
    • DATA STORAGE CONCERNS- TOP FOCUS
    • USER SATISFACTION ON DECLINE
    • SPECIALISTS SEE GAINS
    • EHRSMORE PERSONALIZED
  • Definition of Industry Products
  • List of Select Major Companies

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