EMR Market 2017: Electronic Medical Records in an Era of Disruption

  • ID: 4244540
  • Report
  • Region: Global
  • 290 Pages
  • Kalorama Information
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For a decade, the EMR market could be said to be growing market on a predictable trajectory. No more. The $28 billion-dollar EMR market is witnessing fundamental changes that are important for market watchers to know about that could affect the market.

These are among the disruptive changes affecting the industry:

  • Frustrated Physicians
  • Hospitals Switching EMR Vendors
  • A New President and New Healthcare Policy Leaders
  • Ransomware Attacks and Cyber Breaches Causing a PR Downside
  • "Dashboarding," Blockchain and Other Product Trends
  • Hundreds of Competitors
  • No Vendor With Even 1/5th of the Market
  • Interoperability Mandates
  • IT Staff Shortages

These are just some of the changes covered in detail in this report on the electronic medical records market, a market that has been covered since 2007.

The Era of Disruption in the EMR Market

This report provides market size for the EMR market, as well as market forecasts and trends. Some trends noted in this report, EMR 2017 included the depth of physician adoption, user dissatisfaction with their purchases, lack of interoperability, implementation difficulties, staffing shortages in IT, the lack of a clear EMR market leader, increasing international markets, and cybersecurity. Additionally, a new administration with a different set of objectives from the Obama Administration that incentivized EMR purchases is in office, potentially changing programs. It's believed that at this time these trends are combining to distrupt the EMR marketplace, even while revenues for companies grow.

The report takes a look at these trends and provides the following data:

  • The EMR Market, 2014 and Forecasted to 2021
  • Possible Trump Administration Moves and Likely Impact
  • Blockchain, OpenSource EMR, BYOD and Other Must-Watch Trends
  • Electronic Medical Records Vendor Market Share
  • The Hospital and Ambulatory EMR Markets, 2014-21
  • Breakouts of Market: Services, Software, Hardware
  • Meaningful Use, MACRA and Other Policies
  • The Latest Physician EMR Usage Statistics
  • Current Hospital Stage Goals and Results
  • Pricing of EHR Systems and ROI Information
  • International EMR Markets
  • Over 50 Profiles of EMR Companies

EMR Market 2017: Electronic Medical Records in an Era of Disruption is a look at the market and trends affecting electronic medical record software and related services. Included in the report are statistics influencing the industry, demographics, life expectancy, and company strategies.

Industry-Focused Report: A Look at Potential Policy Moves and Their Impact on the Market

These reports are based on real industry events and performance, not academic models. Revenues are based on worldwide figures. Included in the revenues are sales of software, services, consulting and replacement. A market summary includes a total market analysis. Also included is a competitive analysis of leading EMR system providers. Most importantly. this report contains a look at big issues and trends in the industry. Mergers are detailed, physician and hospital adoption stats are provided. A list of potential Trump Presidency moves and their likely impact are detailed in the report.

Issue – New Administration policy: The industry has been plagued with confusion regarding meaningful use and certification of EMR systems, which has slowed adoption progress. It appears the adoption rate for EMR may have decreased in 2009 and to some degree 2010 as a result of confusing guidelines, though the percentage of physicians using electronic records made progress. Many of the well-intended helps such as regional extension centers have failed to materialize and those that did were busy trying to put their own house in order so that they could help the community. Clearer guidelines and support available in 2011 and 2012 have helped the industry to push forward but there is still some confusion, especially with small physician offices. In 2016, the EHR reporting period for a payment adjustment year for EP who are new participants is any continuous 90-day period in 2016. New participants who successfully demonstrate meaningful use for this period and satisfy all other program requirements will avoid the payment penalty in 2017.
Issue – Cybersecurity: There continues to be an uptick in the number and severity of security breaches in healthcare involving small and large institutions alike. Security of medical records is still of highest concern and one that seems to be experiencing increasing bumps in the road. There have been numerous breaches in all areas of healthcare and it does not seem to be getting better. With so many portals to access the information, systems have a hard time securing the contents. This will continue to be a huge concern for all participants. Stringent security measures are mandated with updates to HIPAA and with more stringent HIPAA guidelines now in play, the industry can expect to see fines that are more significant. This area continues to be an Achilles heel for the industry.

Issue – Frustrated Physicians: Physicians have repeatedly complained that EHRs are difficult to use. Many EHR interfaces are awkward and non-intuitive creating more problems than solutions. Physicians are not convinced that EMR’s will cut costs or help to provide better and safer care. One of the reasons for this may be that vendors do not seem to be in touch with what physicians need in their individual practices. Furthermore, EHRs often get in the way and slow users down because of the way they are configured or are not convenient to use. Most EHRs are not designed to help physicians juggle the simultaneous tasks they all face, like answering a question about one patient while in the middle of writing a prescription for another.

Over 1,000 Companies in the EMR Market

The electronic medical records market is competitive, with over 1,000 providers; however, increasing mergers and acquisitions in the industry will result in the reduction in the number of competitors. Local and country-specific vendors were counted in the total number of EMR providers but were not considered as major players in worldwide market participation. Companies remain competitive by offering high-quality solution packages to private practices and hospitals.

Cerner has the largest share of the EMR market; however, there are still many opportunities for other companies and new entrants. There is still not a single system that is complete with true interoperability. The main drawback for smaller companies is the cost to enter the market with a certified product.

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1: Executive Summary

  • The EMR Market In An Era Of Disruption
  • EMR Intro
  • Industry At A Glance
  • Scope And Methodology
  • Physicians Use Some EMR, But Usage Limited
  • Hospital Use Of EMR Update: Gains In Stage 6, Limited In Stage 7
  • Stage 7 Gains Limited
  • EMR Market: Size And Growth
  • Revenue Growth Changed From Previous Years
    • Table 1-1: Total Worldwide Market For EMR Technologies Revenues, 2014-2021
  • Key Issues And Trends Affecting The Market
  • Trend Of Note: Frustrated Physicians
  • Status Of Meaningful Use: Confusion And Possible Change
  • It Staff Shortages: A Mandate For More Service
  • Pr Effect Of Cyber Breaches Downside For Industry
  • A Market Of More Than 1,000 Companies
  • Conclusion Highlights

2: Fast-Moving Changes: The Era Of Disruption In EMR

  • Overview
  • Frustrated Physicians And Wary Hospitals
  • Hospital Vendor Switches Common
  • Physician Disatisfaction
  • Trump Presidency: Change Likely But Unknown
  • Trump Presidency And EMR
  • Reasonable Expectations
    • Table 2-1: Potential Trump Presidency Policy Or Market Event And Impact On The EMR Market
  • EMR Market Trends To Watch: Blockchain, Byod, Artificial Intelligence,Opensource
  • Blockchain
  • Watch Open Source EMR Applications
  • Benefits Of Open Source EMR Applications
  • Byod Employees Trend Accelerates
  • Radical Product Innovations: Dashboard Modules, Usability, Tablets, E-Prescribe, Big Data
  • Usability Is A Must
  • Tablet-Focus Essential For EMR Vendors
  • Cpoe And Other Features Sell EMR Systems
  • Consolidating EMR Companies
  • Ransomware And Other Cybersecurity Threats
  • Cybersecurity Breaches 2016
  • Breaches 2015
  • Breaches 2014
  • Fraud And Security Surveillance Increases
  • Macra Upends Physician Payments
  • Merit Based Incentive Payment System
  • Alternative Payment Models (Apm)
  • Vendor Readiness
  • Significant Bottlenecks To Full EMR Usage Remain
  • Reliability
  • Accountability
  • Patient Privacy
  • EMR Software
  • Social And Organizational Barriers
  • Large Underserved Market
  • Physician Practices: Still Growth Area Of EMRs
  • Opportunity For Telecoms In EMR
  • Pricing Of EMRs
  • Global Healthcare Spending Trends Related To EHR
  • Europe
  • Asia Pacific
  • The Us Market
  • EMR History And Overview
  • History
  • The Medical Record
  • The Electronic Medical Record
  • Industry Terminology
  • EMR And EHR
  • What Is In 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

3: Big  Issues: Meaningful Use, Adoption Interoperability, Cybersecurity

  • Meaningful Use
  • Modified Stage 2
    • Table 3-1: Attestation Details
    • Table 3-2: Modified Stage Of Meaningful Use 2015-2019 And Beyond
  • Onc Interoperability Guidelines Draft
  • Interoperability
  • Types Of Interoperability
  • Dimensions Of Interoperability
  • Benefits
  • Commonwell Alliance
  • Sequoia Project
  • The Interoperabilitypledge
    • Table 3-3: Three Types Of Interoperability
    • Table 3- 4: Physician Office National Level Adoption By Vendor
  • Fhir
  • Argonaut Project
  • Adoption Issues
  • Physician EMR Adoption Growing, But Use Is Limited
  • Age-Based And Practice Distribution Of Office-Based Physician EMR Adoption
  • Physician EMR Adoption By Region (US)
  • Hospital Adoption: Gains In Stage 6
  • United States
  • Canadian Hospitals LAG

4: Market Analysis: Market Overview

  • EMR Market By Region
  • United States
  • EMEA
  • United Kingdom
  • Germany
  • France
  • Spain
  • Nordic Countries
  • Middle East
  • Africa
  • Others
  • APAC
  • Japan
  • China
  • India
  • Australia
  • Others
  • Rest Of World
  • Brazil
  • Canada
  • Others
    • Table 4-1 EMR Market Analysis 2014-2021 ($ Millions)
    • Table 4-2: Market Size And Growth For Us EMR Market, 2016-2021 ($Millions)
    • Table 4-3 : Market Size And Growth For Emea EMR Market, 2016-2021 ($Millions)
    • Table 4-4: Market Size And Growth For Uk EMR Market, 2016-2021 ($Millions)
    • Table 4-5: Market Size And Growth For  Germany EMR Market, 2016-2021 ($Millions)
    • Table 4-6: Market Size And Growth For  France EMR Market, 2016-2021 ($Millions)
    • Table 4-7: Market Size And Growth For Spain EMR Market, 2016-2021 ($Millions)
    • Table 4-8: Market Size And Growth For Nordic Countries EMR Market, 2016-2021 ($Millions)
    • Table 4-9: Market Size And Growth For Middle East EMR Market, 2016-2021 ($Millions)
    • Table 4-10: Market Size And Growth For Africa EMR Market, 2016-2021 ($Millions)
    • Table 4-11: Market Size And Growth For Others EMR Market, 2016-2021 ($Millions)
    • Table 4-12: Market Size And Growth For Apac EMR Market, 2016-2021 ($Millions)
    • Table 4-13: Market Size And Growth For Japan EMR Market, 2016-2021 ($Millions)
    • Table 4-14: Market Size And Growth For China EMR Market, 2016-2021 ($Millions)
    • Table 4-15: Market Size And Growth For India EMR Market, 2016-2021 ($Millions)
    • Table 4-16: Market Size And Growth For Australia EMR Market, 2016-2021 ($Millions)
    • Table 4-17: Market Size And Growth For Other Apac Countries EMR Market, 2016-2021 ($Millions)
    • Table 4-18: Market Size And Growth For Rest Of World EMR Market, 2016-2021 ($Millions)
    • Table 4-19: Market Size And Growth For Brazil EMR Market, 2016-2021 ($Millions)
    • Table 4-20: Market Size And Growth For Canada EMR Market, 2016-2021 ($Millions)
    • Table 4-21: Market Size And Growth For Other Row Countries EMR Market, 2016-2021 ($Millions)
    • Table 4-22: Market Size And Growth For Hospital EMR Market, 2016-2021 ($Millions)
    • Table 4-23: Market Size And Growth For Physician/Web-Based EMR Market, 2016-2021 ($Millions)
  • EMR Market By End-User Segment
  • Hospital
  • Physician/Web-Based
    • Figure 4-1: Hospital Vs Physician/Web Breakdown 2016
    • Figure 4-2: Hospital Vs Physician/Web Breakdown 2021
  • EMR Market Size By Segment
  • Hardware Segment Of EMR Market
  • Software Segment Of EMR Market
  • Services Segment Of EMR Market
    • Figure 4-3: EMR Breakdown By Type 2016
  • Competitive Analysis: 30+ Significant EMR Players
  • Hospitals And Health System Technology Providers
  • Practice Management System (Pms) Acquirers
  • Pharmacy Services Providers
  • Other Entities
  • Large Practices (20+ Practitioners)
  • Small Practitioners (1-20 Practitioners)
  • Web-Based Users
  • Meaningful Use Attestations
  • Who's Winning In EMR: Market Share
  • Top 10+ Companies In EMR
    • Figure 4- 4: EMR Top Six Providers Market Share % 2016
  • Market Leadership -Hopsital EMR
  • Market Leadership -Physician Office
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