Table of Contents
chapter 1: Executive Summary
- 1.1 Healthcare Industry
- 1.2 Information Technology (IT) in Healthcare
- 1.3 Definition and Scope of Study
- 1.4 EMR in Healthcare
- 1.5 Key EMR Technologies
- 1.6 Emerging Technologies and Application Areas
- 1.7 Market Overview
- 1.8 Competitive Landscape
- 1.9 End-user Analysis
- 1.10 Regulatory Environment
- 1.11 Conclusions and Future Outlook
chapter 2: Introduction
- 2.1 Healthcare Industry
- 2.1.1 Overview
- 2.1.2 Structure of the Healthcare Industry
- 2.1.3 Trends
- 2.1.4 Challenges
- 2.1.5 Market Size
- 2.2 Information Technology (IT) in Healthcare
- 2.2.1 Overview
- 2.2.2 Market Size
- 2.2.3 Conclusions - The US vs. Europe
- 2.3 Definition and Scope of Study
chapter 3: Medical Records (EMR)
- 3.1 Medical Records
- 3.1.1 Introduction
- 3.1.2 Current Practices
- 3.1.3 Transition to Computerization
- 3.2 Introduction to EMR
- 3.2.1 Definition
- 3.2.2 Terminologies Used in the Industry
- 3.3 Functional Requirements of EMR
- 3.3.1 Basic Functionalities
- 3.3.2 Additional Functionalities
- 3.4 Advantages of EMR
- 3.5 Limitations of EMR
- 3.6 Key EMR Technologies
- 3.6.1 Software Requirements
- 3.6.2 Hardware Requirements
- 3.7 Components of an EMR
- 3.7.1 Overview
- 3.7.2 Major Components of EMRs
- 3.8 Emerging Trends
- 3.8.1 Emerging Technologies
- 3.8.2 Emerging EMR Application Areas
chapter 4: MARKET Overview
- 4.1 Market Definition
- 4.2 Market Size
- 4.3 Market Adoption
- 4.3.1 The EMR Adoption Model
- 4.3.2 Adoption Scenario
- 4.3.3 Projected Benefits of EMR Adoption
- 4.4 Drivers and Inhibitors
- 4.4.1 EMR Adoption - Drivers
- 4.4.2 EMR Adoption - Inhibitors
- 4.5 Implementation Costs and Return on Investments (ROI)
- 4.5.1 Implementation Costs and ROI for Office-based Physicians
- 4.5.2 Implementation Costs and ROI for Hospitals
- 4.5.3 Summary
- 4.6 Competitive Landscape
- 4.6.1 Market Segmentation
- 4.6.2 Market Shares of EMR Vendors
- 4.6.3 Mergers and Acquisitions (M&As)
- 4.6.4 Pricing of EMR Solutions
- 4.6.5 Purchasing, Marketing, and Distributing EMR Products
chapter 5: DEMAND Side Analysis
- 5.1 Introduction
- 5.2 Office-based Physicians
- 5.2.1 Overview
- 5.2.2 Case Study
- 5.3 Hospitals
- 5.3.1 Overview
- 5.3.2 Case Study
- 5.4 Pharmacies
- 5.4.1 Overview
- 5.4.2 Pharmaceutical Industry Initiatives
- 5.4.3 Case Study
- 5.5 Health Insurance Providers
- 5.5.1 Overview
- 5.5.2 Initiatives of the Department of Health and Human Services
- 5.6 Consumer Preferences and Future Plans
- 5.6.1 IT Preferences
- 5.6.2 IT Application Preferences
- 5.6.3 Technology Adoption Preferences
- 5.6.4 IT Operating Budget of Healthcare Facilities
chapter 6: Key Regulations and Certifications
- 6.1 Introduction
- 6.2 Need For Regulation
- 6.3 History and Background for Regulations
- 6.4 Introduction to HIPAA
- 6.4.1 Privacy Rule
- 6.4.2 Security Rule
- 6.4.3 Limitations
- 6.4.4 HIPAA Penalties
- 6.5 Code of Federal Regulations (CFR) - Part 11
- 6.6 Key Certifications
- 6.6.1 The Certification Commission for Healthcare Information Technology
- 6.7 Conclusions
chapter 7: Conclusions
- 7.1 First Conclusion: EMR a Necessity
- 7.2 Second Conclusion: US is Market Leader
- 7.3 Third Conclusion: Office-Based Physicians are the Growth Area
- 7.4 Fourth Conclusion: EMR Costs Will Be Reduced
- 7.5 Fifth Conclusion: EMR Software is Defined By Applications
- 7.6 Sixth Conclusion: There is a Large Market For Vendors
- 7.7 Seventh Conclusion: EMR is a Budget Priority For Healthcare Companies
- 7.8 Eighth Conclusion: HIPPA to Drive EMR Growth
chapter 8: Company Profiles
- 8.1 Cerner Corporation
- 8.1.1 Key Facts
- 8.1.2 Company Overview
- 8.1.3 Corporate Partnerships
- 8.1.4 Geographical Presence and Business Lines
- 8.1.5 Product Portfolio
- 8.1.6 Staff Organization
- 8.1.7 Key Executives
- 8.1.8 Key Competitors
- 8.1.9 Performance Review
- 8.1.10 Company Strategy
- 8.2 COMPUTER PROGRAMS AND SYSTEMS, INC. (CPSI)
- 8.2.1 Key Facts
- 8.2.2 Company Overview
- 8.2.3 Product Portfolio
- 8.2.4 Staff Organization
- 8.2.6 Key Competitors
- 8.2.7 Performance Review
- 8.3 Eclipsys Corporation
- 8.3.1 Key Facts
- 8.3.2 Company Overview
- 8.3.3 Corporate Partnerships
- 8.3.4 Geographical Presence and Business Lines
- 8.3.5 Product Portfolio
- 8.3.6 Organization of Business
- 8.3.7 Key Executives
- 8.3.8 Key Competitors
- 8.3.9 Performance Review
- 8.3.10 Company Strategy
- 8.4 Epic Systems Corporation
- 8.4.1 Key Facts
- 8.4.2 Company Overview
- 8.4.3 Corporate Partnerships
- 8.4.4 Product Portfolio
- 8.4.5 Key Executives
- 8.4.6 Key Competitors
- 8.5 GE Healthcare
- 8.5.1 Key Facts
- 8.5.2 Company Overview
- 8.5.3 Geographical Presence and Business Lines
- 8.5.4 Product Portfolio
- 8.5.5 Key Executives
- 8.5.6 Key Competitors
- 8.5.7 Performance Review
- 8.6 McKesson Corporation
- 8.6.1 Key Facts
- 8.6.2 Company Overview
- 8.6.3 Corporate Partnerships
- 8.6.4 Geographical Presence and Business Lines
- 8.6.5 Product Portfolio
- 8.6.6 Organization of Businesses
- 8.6.7 Key Executives
- 8.6.8 Key Competitors
- 8.6.9 Performance Review
- 8.6.10 Company Strategy
- 8.7 Medical Information Technology, Inc. (MEDITECH)
- 8.7.1 Key Facts
- 8.7.2 Company Overview
- 8.7.3 Corporate Partnerships
- 8.7.4 Geographic Presence and Business Lines
- 8.7.5 Product Portfolio
- 8.7.6 Staff Organization
- 8.7.7 Key Executives
- 8.7.8 Key Competitors
- 8.7.9 Performance Review
- 8.8 MedPlus
- 8.8.1 Key Facts
- 8.8.2 Company Overview
- 8.8.3 Corporate Partnerships
- 8.8.4 Business Lines & Product Portfolio
- 8.8.5 Key Competitors
- 8.8.6 Key Executives
- 8.9 Quadramed Corporation
- 8.9.1 Key Facts
- 8.9.2 Company Overview
- 8.9.3 Geographical Presence and Business Lines
- 8.9.4 Product Portfolio
- 8.9.5 Staff Organization
- 8.9.6 Key Executives
- 8.9.7 Key Competitors
- 8.9.8 Performance Review
- 8.10 Siemens Medical Solutions
- 8.10.1 Key Facts
- 8.10.2 Company Overview
- 8.10.3 Geographical Presence and Business Lines
- 8.10.4 Product Portfolio
- 8.10.5 Key Executives
- 8.10.6 Key Competitors
- 8.10.7 Performance Review
LIST OF EXHIBITS
chapter 1: executive summary
- Figure 1-1: Market Size for EMR in the US (2003-2015)
- Table 1-1: Total Implementation Cost for Healthcare systems (US, 2005)
chapter 2: introduction
- Figure 2-1: Value Chain of the Healthcare Industry
- Figure 2-2: Sector-wise Contribution to the US GDP (2005)
- Figure 2-3: The US Healthcare Spending (2003-2013)
- Figure 2-4: Government HealthCare Spending as a Share of GDP (2005)
- Figure 2-5: European Union Spending on HIT (2005-2009)
- Figure 2-6: Pacific Spending on HIT (2004-2009)
- Figure 2-7: US Spending on HIT (2002-2008)
chapter 3: electronic medical records
- Table 3-1: Typical Contents of a Medical Record
- Figure 3-1: Key Components of an EMR
- Figure 3-2: Patient Data Flow across the Key Components of an EMR (I)
- Figure 3-3: Patient Data Flow across the Key Components of an EMR (II)
- Figure 3-4: Commercialization Chain for a New Technology
- Figure 3-5: EMR Access through Individualized Smart Cards
- Table 3-5: Hypothetical Monthly Distribution of the Number of Vaccines
Administered
- Figure 3-65: Hypothetical Monthly Distribution of the Number of Vaccines
Administered
chapter 4: market overview
- Figure 4-1: Categorization of the Healthcare Information Technology Domain
- Figure 4-2: Market Size for EMR in the US (2003-2015)
- Table 4-1: Stages of EMR Adoption
- Table 4-2: Adoption of EMR, CPOE, and Radiology PACS (US, 2005)
- Figure 4-3: Adoption of EMR in Combination with Various Clinical Tools
- Figure 4-4: Adoption of EMR, CPOE, PACS across Different Types of
Healthcare Systems (US, 2005)
- Table 4-3: Cost Break-up for a Typical One-physician Practice (5-year
period)
- Figure 4-5: Year-wise Distribution of Cumulative Savings
- Table 4-4: Total Implementation Cost for Healthcare Systems
- Figure 4-6: Market Segmentation Based on Vendor' s Business Strategies
- Table 4-5: Market Share of Top 10 EMR Vendors (2004-2005)
- Table 4-6: Mergers and Acquisitions (1999-2005)
- Table 4-7: Average Total Cost for a Three-physician Practice for EMR/PMS
Installations (2005-2008)
- Table 4-8: Total Cost Range for EMR/PMS Installations (2005)
- Figure 4 -7: Average Costs for a Typical Three-physician Practice (2005)
- Table 4-9: Two-year Total Cost for EMR/PMS Installations/Subscriptions
- Figure 4-8: Purchasing Process Sequence and Responsible Entities
chapter 5: demand side analysis
- Table 5-1: Age-wise Percentage Distribution of Office-based Physicians
Using EMR (US, 2005)
- Table 5-2: Percentage Distribution of Office-based Physicians Using EMR by
Practice Characteristics (US, 2005)
- Table 5-3: Location Characteristics of Office-based Physicians 2005 (US,
2005)
- Table 5-4: Percentage of Office-based Physicians Using Select EMR Features
(US, 2005)
- Figure 5-1: Areas where Benefits have been Achieved Post-EMR Implementation
- Figure 5-2: North Fulton Practice Time Savings (2000)
- Figure 5-3: North Fulton Practice Cost Savings (2000)
- Table 5-5: Percentage Installation of Various Clinical Applications in
Hospitals (US, 2004)
- Table 5-6 : Hospitals Automated or Contracted for EMR, CDR, CPOE, LIS,
PMS, POC, RIS, and Radiology PACS (US, 2004)
- Table 5-7: EMR System Implementation Rate across Various Operating Room
Environments (US, 2005)
- Table 5-8: Percentage of Hospital Emergency and Outpatient Departments
Using EMR Systems (US, 2002)
- Table 5-9: Adoption of CPOE Applications and Functions by Pharmacies (US,
2006-2010)
- Table 5-10: Adoption of e-Prescribing Applications by Commercial/Retail
Pharmacies (US, 2006-2010)
- Table 5-11: EMR, CPOE, PACS Adoption by Hospitals with a Majority or
Minority of Medicare Patients (US, 2005)
- Table 5-12 : EMR, CPOE, PACS Adoption by Hospitals with a Majority or
Minority of Medicaid Patients (US, 2005)
- Figure 5-4: IT Priorities of Healthcare Organizations in the US (2005-2008)
- Figure 5-5: IT Application Preferences of Healthcare Organizations in the
US for the Next Two Years (2005 vs. 2006)
- Figure 5-6: Status of EMR Implementation in Healthcare Organizations in
the US (2004-2006)
- Figure 5-7: Technology Adoption Preferences of Healthcare Organizations in
the US (2005-2006)
- Figure 5-8: Outlook of Technology Adoption for the Next Two Years (2005
vs. 2006)
- Figure 5-9: Estimated Change in the IT Operating Budget (2006-2007)
chapter 6: key regulations and certifications
- Figure 6-1: Formation of Regulations
- Table 6-1: Vendors and their CCHIT Certified Products
chapter 8: company profiles
- Table 8-1: Corporate Details of Cerner Corporation
- Table 8-2: Geographical Presence and Business Lines of Cerner Corporation
- Table 8-3: Key Executives of Cerner Corporation
- Figure 8-1: Cerner Sales Performance, Geography-wise (2005)
- Figure 8-2: Cerner Revenue Performance (2001-2005)
- Figure 8- 3: Breakup Revenue by Service Type (Percentage)
- Table 8-4: Corporate Details of CPSI
- Table 8-5: Key Executives of CPSI
- Figure 8-4: CPSI Hospital Clients (2001-2005)
- Figure 8-5: CPSI Revenue Performance (2001-2005)
- Figure 8-6: Category-wise Revenue Performance of CPSI (2005)
- Table 8-6: Corporate Details of Eclipsys Corporation
- Table 8-7: Eclipsys Corporation' s Business Relationships
- Table 8-8: Geographical Presence of Eclipsys Corporation
- Table 8-9: Key Executives of Eclipsys
- Figure 8-7: Eclipsys Sales Performance 2005 (by geography)
- Figure 8-8: Eclipsys Revenue Performance (2001-2005)
- Table 8-10: Corporate Details of EPIC
- Table 8-11: Corporate Partnerships of Epic Corporation
- Table 8-12: Key Executives of EPIC SYSTEMS
- Table 8-13: Corporate Details of GE HEALTHCARE
- Table 8 - 14: Geographical Presence of GE Healthcare
- Table 8-15: GE Healthcare Key Executives
- Figure 8-9: GE Healthcare Revenue Performance (2001-2005)
- Table 8-16: Corporate Details of McKesson Corporation
- Table 8-17: Corporate Partners of McKesson Corporation
- Table 8-18: Geographical Presence and Business Lines; McKesson Corporation
- Figure 8-10: Business Divisions McKesson Corporation
- Table 8-19: Key McKesson Corporation Executives
- Figure 8-11: Breakup of Revenue Business Segment-wise (Percentage)
- Figure 8-12:Breakup of Revenue Geography-wise (Percentage)
- Figure 8-13: McKesson Revenue Performance (2002-2006)
- Table 8-20: Corporate Details of MEDITECH
- Table 8-21: Geographical Presence of MEDITECH
- Table 8-22: Software Services Provided by MEDITECH
- Table 8-22: Software Services Provided by MEDITECH
- Table 8-23: Key Executives of MEDITECH.
- Table 8-24: Key Competitors of MEDITECH
- Figure 8-14: MEDITECH Sales Performance by geography (2002)
- Figure 8-15: MEDITECH Sales Performance by Geography (2003)
- Table 8-25: MEDITECH Sales Performance (by category)
- Figure 8-16: MEDITECH Revenue Performance (2001-2005)
- Table 8-26: Corporate Details of MEDPLUS
- Table 8-27: MEDPLUS Corporation' s Business Relationships
- Table 8-28: Key Executives of MEDPLUS
- Table 8-29: Corporate Details of QUADRAMED
- Table 8-30: Geographical Presence and Business Lines of QUADRAMED
CORPORATION
- Table 8-31: Key Executives of QUADRAMED
- Figure 8.17: QUADRAMED Revenue Performance (2001-2005)
- Table 8-32: Corporate Details of Siemens Medical Solutions
- Table 8-33: Geographical Presence of Siemens Medical Solutions
- Table 8-34: Key Executives of Siemens Medical Solutions
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