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Healthcare Technology Opportunities In The Electronic Health Record Market (Review Report)
Datamonitor, Dec 2007, Pages: 76

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Overview 1
Catalyst 1
Summary 1
Methodology 1
Executive Summary 2
Introduction 2
Examining the Global Market for Electronic Health Records (Market Focus) 2
Using a Multi-faceted Approach to Increasing EHR Adoption (Strategy Focus) 2
Leveraging Existing Technologies for Electronic Health Records (Technology Focus) 2
North American Spending on Electronic Health Records Through 2012 (Databook) 3
European Spending on Electronic Health Records Through 2012 (Databook) 3
3
Table of figures 4
Table of tables 5
Examining the Global Market for Electronic Health Records (Market Focus) 6
Summary 6
Electronic health records will become a 'must-have' for healthcare organizations 6
EHR adoption will be inevitable due to internal as well as external factors 8
Improving the quality of care is a priority for healthcare organizations 8
Government initiatives are leading the way, especially when they include funding and incentives 9
Other healthcare players will 'encourage' late adopters to implement EHRs 10
Cost is the most significant, but not the only, barrier to EHR adoption 10
Sticker shock convinces most healthcare organizations that an EHR solution is out of their reach 11
An overwhelming market is difficult for hospitals and physician offices to navigate 11
Providers still harbor fears of change as well as of technology 12
Vendors must continue educating providers and patients on the benefits of EHRs 13
EHR capabilities need to improve 13
Generating more confidence in EHR implementation projects will be important 13
Using a Multi-faceted Approach to Increasing EHR Adoption (Strategy Focus) 14
Summary 14
Just do it: the time is right for EHR adoption 14
Worldwide interest in EHRs will continue as the market evolves 14
The 'usual suspects' lead in global spending on EHRs 14
The ambulatory EHR market will grow through multiple channels 15
EHRs delivered through a software as a service model will be more cost-effective and easier to implement 16
No one-size-fits-all, but EHR adoption will increase if approached from many angles 16
National approaches to EHR adoption will be either from the top down or bottom up 17
A top down approach will work best in single payer systems 17
Grass roots adoption from multiple stakeholders will be most effective 18
Incentives will be key to increasing EHR adoption and usage 19
Lessons learned: recommendations on implementation from early EHR adopters 19
Vendors should sell to larger, more influential, organizations as well as individual clients 21
Increased positive publicity will generate more attention, excitement and adoption of EHRs 21
EHR vendors need to be aware of, if not involved in, government healthcare agendas 21
Leveraging Existing Technologies for Electronic Health Records (Technology Focus) 22
Summary 22
EHR technologies are evolving 22
No need to reinvent the wheel: EHR technologies are already available in other industries 22
An EHR is essentially an Enterprise Content Management solution 23
EHRs will shift from an on-premise software towards a software as a service model 23
For most providers, todays off-the-shelf EHRs are more than sufficient for their needs 24
As EHRs become more advanced, they will require solutions from multiple vendors 24
Basic EHRs will turn paper-based offices into electronic ones 25
Mid-level EHRs will have additional 'accessories' 26
Advanced EHRs will be intelligent and shared 26
EHR vendors should extend the functionality of their solutions through partnerships 27
Vendors must work towards interoperability or be left behind 27
EHRs should focus on key capabilities, not extraneous features, and value 27
North American Spending on EHRs Through 2012 (Databook) 28
Introduction 28
North American Spending on EHRs Through 2012 29
Spending on EHRs in the US Through 2012 30
Ambulatory Spending on EHRs in the US Through 2012 31
Hospital Spending on EHRs in the US Through 2012 32
Spending on EHRs in Canada Through 2012 33
Ambulatory Spending on EHRs in Canada Through 2012 34
Hospital Spending on EHRs in Canada Through 2012 35
European Spending on Electronic Health Records Through 2012 (Databook) 36
Introduction 36
European Spending on EHRs Through 2012 37
Spending on EHRs in the UK Through 2012 39
Ambulatory Spending on EHRs in the UK Through 2012 40
Hospital Spending on EHRs in the UK Through 2012 41
Spending on EHRs in Germany Through 2012 42
Ambulatory Spending on EHRs in Germany Through 2012 43
Hospital Spending on EHRs in Germany Through 2012 44
Spending on EHRs in France Through 2012 45
Ambulatory Spending on EHRs in France Through 2012 46
Hospital Spending on EHRs in France Through 2012 47
Spending on EHRs in Italy Through 2012 48
Ambulatory Spending on EHRs in Italy Through 2012 49
Hospital Spending on EHRs in Italy Through 2012 50
Spending on EHRs in Benelux Through 2012 51
Ambulatory Spending on EHRs in Benelux Through 2012 52
Hospital Spending on EHRs in Benelux Through 2012 53
Spending on EHRs in the Nordics Through 2012 54
Ambulatory Spending on EHRs in the Nordics Through 2012 55
Hospital Spending on EHRs in the Nordics Through 2012 56
Spending on EHRs in NEU 10 Through 2012 57
Ambulatory Spending on EHRs in NEU 10 Through 2012 58
Hospital Spending on EHRs in NEU 10 Through 2012 59
Spending on EHRs in the RoWE Through 2012 60
Ambulatory Spending on EHRs in the RoWE Through 2012 61
Hospital Spending on EHRs in the RoWE Through 2012 62
Spending on EHRs in Spain Through 2012 63
Ambulatory Spending on EHRs in Spain Through 2012 64
Hospital Spending on EHRs in Spain Through 2012 65
Spending on EHRs in Switzerland Through 2012 66
Ambulatory Spending on EHRs in Switzerland Through 2012 67
Hospital Spending on EHRs in Switzerland Through 2012 68
APPENDIX 69
Abbreviations 69
Methodology 70
Further reading 70
Ask the analyst 70
Our consulting 70
Disclaimer 70
List of Tables
Table 1: North American Spending on EHRs Through 2012 (Million US$) 29
Table 2: Spending on EHRs in the US Through 2012 (Million US$) 30
Table 3: Ambulatory Spending on EHRs in the US Through 2012 (Million US$) 31
Table 4: Hospital Spending on EHRs in the US Through 2012 (Million US$) 32
Table 5: Spending on EHRs in Canada Through 2012 (Million US$) 33
Table 6: Ambulatory Spending on EHRs in Canada Through 2012 (Million US$) 34
Table 7: Hospital Spending on EHRs in Canada Through 2012 (Million US$) 35
Table 8: European Spending on EHRs Through 2012 (Million US$) 38
Table 9: Spending on EHRs in the UK Through 2012 (Million US$) 39
Table 10: Ambulatory Spending on EHRs in the UK Through 2012 (Million US$) 40
Table 11: Hospital Spending on EHRs in the UK Through 2012 (Million US$) 41
Table 12: Spending on EHRs in Germany Through 2012 (Million US$) 42
Table 13: Ambulatory Spending on EHRs in Germany Through 2012 (Million US$) 43
Table 14: Hospital Spending on EHRs in Germany Through 2012 (Million US$) 44
Table 15: Spending on EHRs in France Through 2012 (Million US$) 45
Table 16: Ambulatory Spending on EHRs in France Through 2012 (Million US$) 46
Table 17: Hospital Spending on EHRs in France Through 2012 (Million US$) 47
Table 18: Spending on EHRs in Italy Through 2012 (Million US$) 48
Table 19: Ambulatory Spending on EHRs in Italy Through 2012 (Million US$) 49
Table 20: Hospital Spending on EHRs in Italy Through 2012 (Million US$) 50
Table 21: Spending on EHRs in Benelux Through 2012 (Million US$) 51
Table 22: Ambulatory Spending on EHRs in Benelux Through 2012 (Million US$) 52
Table 23: Hospital Spending on EHRs in Benelux Through 2012 (Million US$) 53
Table 24: Spending on EHRs in the Nordics Through 2012 (Million US$) 54
Table 25: Ambulatory Spending on EHRs in the Nordics Through 2012 (Million US$) 55
Table 26: Hospital Spending on EHRs in the Nordics Through 2012 (Million US$) 56
Table 27: Spending on EHRs in NEU 10 Through 2012 (Million US$) 57
Table 28: Ambulatory Spending on EHRs in NEU 10 Through 2012 (Million US$) 58
Table 29: Hospital Spending on EHRs in NEU 10 Through 2012 (Million US$) 59
Table 30: Spending on EHRs in the RoWE Through 2012 (Million US$) 60
Table 31: Ambulatory Spending on EHRs in the RoWE Through 2012 (Million US$) 61
Table 32: Hospital Spending on EHRs in the RoWE Through 2012 (Million US$) 62
Table 33: Spending on EHRs in Spain Through 2012 (Million US$) 63
Table 34: Ambulatory Spending on EHRs in Spain Through 2012 (Million US$) 64
Table 35: Hospital Spending on EHRs in Spain Through 2012 (Million US$) 65
Table 36: Spending on EHRs in Switzerland Through 2012 (Million US$) 66
Table 37: Ambulatory Spending on EHRs in Switzerland Through 2012 (Million US$) 67
Table 38: Hospital Spending on EHRs in Switzerland Through 2012 (Million US$) 68
List of Figures
Figure 1: Datamonitors definition of an EHR 7
Figure 2: Global Spending on Hospital EHRs Through 2012 15
Figure 3: Top Down Approach to EHR Adoption 18
Figure 4: Using a Multi-faceted Approach to Increasing EHR Adoption 20
Figure 5: A framework for understanding the evolution of EHR functionality and adoption 25
Figure 6: North American Spending on EHRs Through 2012 (Million US$) 29
Figure 7: Spending on EHRs in the US Through 2012 (Million US$) 30
Figure 8: Ambulatory Spending on EHRs in the US Through 2012 (Million US$) 31
Figure 9: Hospital Spending on EHRs in the US Through 2012 (Million US$) 32
Figure 10: Spending on EHRs in Canada Through 2012 (Million US$) 33
Figure 11: Ambulatory Spending on EHRs in Canada Through 2012 (Million US$) 34
Figure 12: Hospital Spending on EHRs in Canada Through 2012 (Million US$) 35
Figure 13: European Spending on EHRs Through 2012 (Million US$) 37
Figure 14: Spending on EHRs in the UK Through 2012 (Million US$) 39
Figure 15: Ambulatory Spending on EHRs in the UK Through 2012 (Million US$) 40
Figure 16: Hospital Spending on EHRs in the UK Through 2012 (Million US$) 41
Figure 17: Spending on EHRs in Germany Through 2012 (Million US$) 42
Figure 18: Ambulatory Spending on EHRs in Germany Through 2012 (Million US$) 43
Figure 19: Hospital Spending on EHRs in Germany Through 2012 (Million US$) 44
Figure 20: Spending on EHRs in France Through 2012 (Million US$) 45
Figure 21: Ambulatory Spending on EHRs in France Through 2012 (Million US$) 46
Figure 22: Hospital Spending on EHRs in France Through 2012 (Million US$) 47
Figure 23: Spending on EHRs in Italy Through 2012 (Million US$) 48
Figure 24: Ambulatory Spending on EHRs in Italy Through 2012 (Million US$) 49
Figure 25: Hospital Spending on EHRs in Italy Through 2012 (Million US$) 50
Figure 26: Spending on EHRs in Benelux Through 2012 (Million US$) 51
Figure 27: Ambulatory Spending on EHRs in Benelux Through 2012 (Million US$) 52
Figure 28: Hospital Spending on EHRs in Benelux Through 2012 (Million US$) 53
Figure 29: Spending on EHRs in the Nordics Through 2012 (Million US$) 54
Figure 30: Ambulatory Spending on EHRs in the Nordics Through 2012 (Million US$) 55
Figure 31: Hospital Spending on EHRs in the Nordics Through 2012 (Million US$) 56
Figure 32: Spending on EHRs in NEU 10 Through 2012 (Million US$) 57
Figure 33: Ambulatory Spending on EHRs in NEU 10 Through 2012 (Million US$) 58
Figure 34: Hospital Spending on EHRs in NEU 10 Through 2012 (Million US$) 59
Figure 35: Spending on EHRs in the RoWE Through 2012 (Million US$) 60
Figure 36: Ambulatory Spending on EHRs in the RoWE Through 2012 (Million US$) 61
Figure 37: Hospital Spending on EHRs in the RoWE Through 2012 (Million US$) 62
Figure 38: Spending on EHRs in Spain Through 2012 (Million US$) 63
Figure 39: Ambulatory Spending on EHRs in Spain Through 2012 (Million US$) 64
Figure 40: Hospital Spending on EHRs in Spain Through 2012 (Million US$) 65
Figure 41: Spending on EHRs in Switzerland Through 2012 (Million US$) 66
Figure 42: Ambulatory Spending on EHRs in Switzerland Through 2012 (Million US$) 67
Figure 43: Hospital Spending on EHRs in Switzerland Through 2012 (Million US$) 68



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