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Global Clinical Documentation Improvement (CDI) Market (2023-2028) Competitive Analysis, Impact of Covid-19, Ansoff Analysis

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    Report

  • 222 Pages
  • February 2024
  • Region: Global
  • Infogence Global Research
  • ID: 5863719

The trend in Clinical Documentation Improvement involves the integration of AI-driven technologies to enhance accuracy and efficiency in medical documentation processes

The Global Clinical Documentation Improvement (CDI) Market is estimated to be USD 4.85 Bn in 2023 and is expected to reach USD 7.15 Bn by 2028 growing at a CAGR of 8.07%.

  • The clinical documentation improvement (CDI) market is one area that is expanding quickly within the healthcare industry. To improve patient care, maximize reimbursement, and ensure regulatory compliance, clinical documentation improvement, or CDI, is the process of increasing the quality and accuracy of clinical documentation in medical records. Due to the recent emphasis on quality reporting, value-based treatment, and precise coding and billing, the CDI market has seen substantial growth. Due to the crucial role that clinical documentation plays in healthcare operations, robust CDI solutions are required. Accurate and thorough documentation is crucial for documenting the entire patient story, including diagnosis, treatments, procedures, and outcomes. It supports continuity and care coordination as an essential communication channel between healthcare professionals.
  • The switch from fee-for-service reimbursement methods to value-based reimbursement models is one of the major forces driving the CDI market. An accurate clinical recording is essential in value-based care to accurately capture the complexity and seriousness of patient illnesses, which directly impacts risk adjustment and compensation. To ensure that the severity of illnesses and the scope of the services rendered are accurately documented and tagged, CDI programs assist healthcare organizations in identifying and addressing documentation gaps. The growing importance of performance measures and high-quality reporting is another driver boosting the CDI market. Healthcare organizations must participate in value-based payment programs and provide quality metrics to regulatory bodies. Clinical documentation must be accurate and thorough to measure and report quality results, ensure compliance, and show the value provided.
  • Additionally, implementing electronic health records (EHRs) has made adopting CDI solutions possible and necessary. While EHRs have many advantages, they also pose difficulties with accurate and high-quality documentation. By providing automated coding suggestions, real-time alarms for incorrect or insufficient documentation, and clinical decision support to enhance documentation practices, CDI tools and technologies assist healthcare organizations in navigating these issues. There are many different products and services available in the CDI industry. Applications for CDI software are made to analyze clinical documentation, find flaws, and offer suggestions for improvement. These programs use artificial intelligence (AI) and natural language processing (NLP) technology to extract pertinent data from medical records and help medical professionals accurately record diagnoses and procedures.
  • Contrarily, CDI services entail hiring qualified CDI specialists or consultants who collaborate closely with healthcare organizations to improve their clinical documentation procedures. To guarantee that clinical documentation satisfies the highest standards of accuracy, completeness, and compliance, these professionals offer training, audits, and continuous assistance. The CDI industry is quite competitive, and several major vendors provide CDI solutions specifically suited to healthcare organizations' requirements. These manufacturers offer thorough CDI software programs, consulting services, and learning materials. To ensure that their solutions adhere to industry standards and best practices, they also keep up with coding standards and documentation specifications changes.
  • As healthcare organizations become more aware of the need for accurate and thorough clinical documentation, the market for clinical documentation enhancement is expanding significantly. When it comes to maximizing reimbursement, guaranteeing compliance, and raising the standard of patient care, CDI solutions and services are essential. The success of healthcare organizations depends increasingly on their ability to implement CDI programs in light of the shifting healthcare environment towards value-based care and the complexity that EHRs have brought about. The CDI market is anticipated to grow further as the demand for accurate and detailed clinical documentation increases, driven by ongoing technological improvements and the need for better healthcare outcomes.

Market Segmentations

  • The Global Clinical Documentation Improvement (CDI) Market is segmented based on Components, End Users, and Geography.
  • By Component, the market is classified into Solutions and Services. The large share expected to be the Solutions segment can be attributed to the benefits offered by mid-revenue cycle solutions when integrated with EHRs/EMRs. Revenue losses due to medical billing and coding errors, declining reimbursement rates, and the need to reduce the rising healthcare cost are other key factors supporting the growth in the demand for these solutions. The rising demand for improved patient safety and patient care, stringent regulations regarding healthcare provider solutions, and the need for integrated healthcare systems are also driving the growth of the clinical solutions segment.
  • By End User, the market is classified into Healthcare Providers and Healthcare Payers.
  • The market's largest share belonged to the healthcare providers sector. The significant demand from healthcare providers for these solutions to increase data accuracy in clinical documentation, maximize hospital revenues by reducing coding errors, and shorten the claims reimbursement cycle can be attributed to the growth of the mid-revenue cycle management solutions market for healthcare providers. Other important drivers driving the increase in demand for these solutions are decreased reimbursement rates, revenue losses resulting from medical billing and coding errors, and the need to lower the rising healthcare costs.
  • By Geography, the market is classified into the Americas, Europe, Middle-East & Africa, and Asia-Pacific.
  • Americas accounted for a major share of the market. In Americas, the market is well-established, and the US dominates there. The US healthcare delivery system is largely influenced by the healthcare insurance sector, which administers programs like Medicare and Medicaid. Due to the adoption of ICD-10 coding standards more recently, the demand for sophisticated computer-assisted coding systems has surged in the nation. ICD-10's improved data results in better predictive analytics, better insights into health issues and care management, and ultimately better health outcomes. The US's pattern of declining reimbursement rates also supports market expansion.

Recent Development

  • AUSTIN, Texas, Leading enterprise AI software provider Iodine Software announced a national study of clinical documentation improvement (CDI) leaders that uncovers a number of key insights about how they view their roles and define CDI program success. - November 09, 2022
  • Nuance (US) formed a partnership with Epic Systems (US). Under the terms of this agreement, Epic incorporated Nuance's Artificial Intelligence (AI)-powered virtual assistant platform (New Dragon Medical capabilities) into Epic EHRs. - 2018
  • M Modal (US) formed a partnership with Enjoin (US). Through this partnership. M Modal would explore Enjoin's risk-adjustment services to advance outpatient CDI programs. - 2018
  • Vitalware (US) formed a partnership with BurstlQ (US). Through this partnership, VitalWare implemented BurstiQ's blockchain-based advanced analytics and machine learning into its solutions and services. - 2018

Company Profiles

The report provides a detailed analysis of the competitors in the market. It covers the financial performance analysis for the publicly listed companies in the market. The report also offers detailed information on the companies' recent development and competitive scenario. Some of the companies covered in this report are 3M, Optum, Nuance, M*Modal, Iodine Software, Chartwise, etc.

Countries Studied

  • America (Argentina, Brazil, Canada, Chile, Colombia, Mexico, Peru, United States, Rest of Americas)
  • Europe (Austria, Belgium, Denmark, Finland, France, Germany, Ireland, Italy, Luxemburg, Netherlands, Norway, Poland, Russia, Spain, Sweden, Switzerland, United Kingdom, Rest of Europe)
  • Middle-East and Africa (Egypt, Israel, Qatar, Nigeria, Saudi Arabia, South Africa, United Arab Emirates, Rest of MEA)
  • Asia-Pacific (Australia, Bangladesh, China, India, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Sri Lanka, Thailand, Taiwan, Rest of Asia-Pacific)

Competitive Quadrant

The report includes Competitive Quadrant, a proprietary tool to analyze and evaluate the position of companies based on their Industry Position score and Market Performance score. The tool uses various factors for categorizing the players into four categories. Some of these factors considered for analysis are financial performance over the last 3 years, growth strategies, innovation score, new product launches, investments, growth in market share, etc.

Ansoff Analysis

  • The report presents a detailed Ansoff matrix analysis for the Global Clinical Documentation Improvement (CDI) Market. Ansoff Matrix, also known as Product/Market Expansion Grid, is a strategic tool used to design strategies for the growth of the company. The matrix can be used to evaluate approaches in four strategies viz. Market Development, Market Penetration, Product Development, and Diversification. The matrix is also used for risk analysis to understand the risk involved with each approach.
  • The publisher analyses the Global Clinical Documentation Improvement (CDI) Market using the Ansoff Matrix to provide the best approaches a company can take to improve its market position.
  • Based on the SWOT analysis conducted on the industry and industry players, the publisher has devised suitable strategies for market growth.

Why buy this report?

  • ● The report offers a comprehensive evaluation of the Global Clinical Documentation Improvement (CDI) Market. The report includes in-depth qualitative analysis, verifiable data from authentic sources, and projections about market size. The projections are calculated using proven research methodologies.
  • ● The research report also provides a detailed market size analysis and projections in volume and value terms. The projections are calculated using verified research methodologies.
  • ● Excel data sheet for the market size will also be provided with the report.
  • ● The report has been compiled through extensive primary and secondary research. The primary research is done through interviews, surveys, and observation of renowned personnel in the industry.
  • ● The report includes an in-depth market analysis using Porter’s 5 forces model, PESTLE Analysis, and the Ansoff Matrix. In addition, the impact of COVID-19 on the market is also featured in the report.
  • ● The report includes the regulatory scenario in the industry, which will help you make a well-informed decision. The report discusses major regulatory bodies and major rules and regulations imposed on this sector across various geographies.
  • ● The report includes Self-Assessment Form, which helps customers evaluate their position in the market compared to their competitors
  • ● The report offers customized research - tailored uniquely to our customers with a quick turnaround time. We offer a 15% customization option at no extra charge to all our clients for any of our syndicated reports.

Report Highlights:

  • ● A complete analysis of the market, including the parent industry
  • ● Important market dynamics and trends
  • ● Impact Analysis - a comprehensive assessment to confront risk and make strategic & operational decisions to counter the changes in the market environment.
  • ● Market segmentation
  • ● Competitive Analysis: Comparative analysis of competitor
  • ● Historical, current, and projected size of the market based on value and volume
  • ● Market size of the US states
  • ● Market shares and strategies of key players
  • ● Recommendations to companies for strengthening their foothold in the market

Table of Contents

1 Report Description
1.1 Study Objectives
1.2 Market Definition
1.3 Currency
1.4 Years Considered
1.5 Language
1.6 Key Stakeholders
2 Research Methodology
2.1 Research Process
2.2 Data Collection and Validation
2.2.1 Secondary Research
2.2.2 Primary Research
2.2.3 Models
2.3 Market Size Estimation
2.3.1 Bottom-Up Approach
2.3.2 Top-Down Approach
2.4 Assumptions of the Study
2.5 Limitations of the Study
3 Executive Summary
3.1 Introduction
3.2 Market Size, Segmentations, and Outlook
4 Market Dynamics
4.1 Impact Analysis
4.2 Drivers
4.2.1 Increasing Focus on Accurate and Complete Documentation
4.2.2 Shift Toward Value-Based Reimbursement Models
4.2.3 Growing Regulatory Requirements and Compliance
4.3 Restraints
4.3.1 Resistance to Change and Adoption
4.4 Opportunities
4.4.1 Increasing Technological Advancements
4.4.2 InCorp with Natural Language Processing to Extract the Salient Points from Unstructured Data
4.5 Challenges
4.5.1 Data Interoperability and Integration
5 Market Analysis
5.1 Regulatory Scenario
5.2 Porter’s Five Forces Analysis
5.3 PESTLE Analysis
5.4 Impact of COVID-19
5.5 Ansoff Matrix Analysis
6 Global Clinical Documentation Improvement (CDI) Market, By Component
6.1 Introduction
6.2 Solutions
6.3 Services
7 Global Clinical Documentation Improvement (CDI) Market, By End User
7.1 Introduction
7.2 Healthcare Providers
7.3 Healthcare Payers
8 Americas' Clinical Documentation Improvement (CDI) Market
8.1 Introduction
8.2 Argentina
8.3 Brazil
8.4 Canada
8.5 Chile
8.6 Colombia
8.7 Mexico
8.8 Peru
8.9 United States
8.10 Rest of Americas
9 Europe's Clinical Documentation Improvement (CDI) Market
9.1 Introduction
9.2 Austria
9.3 Belgium
9.4 Denmark
9.5 Finland
9.6 France
9.7 Germany
9.8 Ireland
9.9 Italy
9.10 Luxembourg
9.11 Netherlands
9.12 Norway
9.13 Poland
9.14 Russia
9.15 Spain
9.16 Sweden
9.17 Switzerland
9.18 United Kingdom
9.19 Rest of Europe
10 Middle East and Africa's Clinical Documentation Improvement (CDI) Market
10.1 Introduction
10.2 Egypt
10.3 Israel
10.4 Qatar
10.5 Nigeria
10.6 Saudi Arabia
10.7 South Africa
10.8 United Arab Emirates
10.9 Rest of MEA
11 APAC's Clinical Documentation Improvement (CDI) Market
11.1 Introduction
11.2 Australia
11.3 Bangladesh
11.4 China
11.5 India
11.6 Indonesia
11.7 Japan
11.8 Malaysia
11.9 Philippines
11.10 Singapore
11.11 South Korea
11.12 Sri Lanka
11.13 Thailand
11.14 Taiwan
11.15 Rest of Asia-Pacific
12 Competitive Landscape
12.1 Competitive Quadrant
12.2 Market Share Analysis
13 Company Profiles
13.1 3M
13.1.1 Company Overview
13.1.2 Company Snapshot
13.1.3 Product Overview
13.1.4 Business Overview
13.1.5 SWOT Analysis
13.1.6 Recent Developments
13.2 Chartwise
13.2.1 Company Overview
13.2.2 Company Snapshot
13.2.3 Product Overview
13.2.4 Business Overview
13.2.5 SWOT Analysis
13.2.6 Recent Developments
13.3 Craneware
13.3.1 Company Overview
13.3.2 Company Snapshot
13.3.3 Product Overview
13.3.4 Business Overview
13.3.5 SWOT Analysis
13.3.6 Recent Developments
13.4 Dolbey Systems
13.4.1 Company Overview
13.4.2 Company Snapshot
13.4.3 Product Overview
13.4.4 Business Overview
13.4.5 SWOT Analysis
13.4.6 Recent Developments
13.5 Epic Systems
13.5.1 Company Overview
13.5.2 Company Snapshot
13.5.3 Product Overview
13.5.4 Business Overview
13.5.5 SWOT Analysis
13.5.6 Recent Developments
13.6 Iodine Software
13.6.1 Company Overview
13.6.2 Company Snapshot
13.6.3 Product Overview
13.6.4 Business Overview
13.6.5 SWOT Analysis
13.6.6 Recent Developments
13.7 M Modal
13.7.1 Company Overview
13.7.2 Company Snapshot
13.7.3 Product Overview
13.7.4 Business Overview
13.7.5 SWOT Analysis
13.7.6 Recent Developments
13.8 Nuance
13.8.1 Company Overview
13.8.2 Company Snapshot
13.8.3 Product Overview
13.8.4 Business Overview
13.8.5 SWOT Analysis
13.8.6 Recent Developments
13.9 Optum
13.9.1 Company Overview
13.9.2 Company Snapshot
13.9.3 Product Overview
13.9.4 Business Overview
13.9.5 SWOT Analysis
13.9.6 Recent Developments
13.10 Vitalware
13.10.1 Company Overview
13.10.2 Company Snapshot
13.10.3 Product Overview
13.10.4 Business Overview
13.10.5 SWOT Analysis
13.10.6 Recent Developments
14 Appendix
14.1 Self-Assessment Form

Companies Mentioned

  • 3M
  • Chartwise
  • Craneware
  • Dolbey Systems
  • Epic Systems
  • Iodine Software
  • M Modal
  • Nuance
  • Optum
  • Vitalware

Table Information