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市場調査レポート

EMR 2017年:破壊的な時代における電子医療記録市場

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

発行 Kalorama Information 商品コード 234471
出版日 ページ情報 英文 290 Pages
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EMR 2017年:破壊的な時代における電子医療記録市場 EMR Market 2017: Electronic Medical Records in an Era of Disruption
出版日: 2017年04月18日 ページ情報: 英文 290 Pages
概要

当レポートでは、世界の電子医療記録 (EMR) ソフトウェアおよび関連サービスに影響を及ぼす市場・動向について調査し、地域別の市場分析、主要企業のプロファイル、人口統計、寿命および企業戦略など専業に影響を及ぼす統計などを含め、提供しています。

第1章 エグゼクティブサマリー

第2章 急速な変化:EMRにおける破壊的な時代

  • 概要
  • 不満を抱く医師・用心深い病院
  • トランプ政権:変化の見込み、しかし未知数
  • 注目のEMR市場動向:ブロックチェーン、BYOD、人工知能、オープンソース
  • 急進的な製品革新:ダッシュボードモジュール、ユーザビリティ、タブレット、電子処方箋、ビッグデータ
  • ランサムウェアおよびその他のセキュリティ脅威
  • MACRA (メディケアアクセスおよびCHIP改正法) は医師報酬へ大きな影響を与える
  • EMRの完全な利用に残される大きな障壁
  • 十分な医療サービスを受けていない大きな市場
  • EMRの価格
  • EHR関連の世界の医療費動向
  • EMRの歴史・概要
  • EMRとは何か?、ほか

第3章 大きな問題:有意義な利用、導入の相互運用性、サイバーセキュリティ

  • 有意義な利用
  • ONC相互運用性ガイドラインの草案
  • 相互運用性
  • FHIR
  • 導入の課題
  • 医師のEMR導入が増加、しかし利用は限られる
  • 病院の導入、ほか

第4章 市場分析:市場概要

  • EMR市場:地域別
  • EMEA (欧州・中東・アフリカ)
  • APAC (アジア太平洋)
  • EMR市場:エンドユーザー区分別
  • EMR市場規模:セグメント別
  • 競合分析:主要EMR企業30社以上
  • EMRにおける勝者は誰か:市場シェア

第5章 企業プロファイル

このページに掲載されている内容は最新版と異なる場合があります。詳細はお問い合わせください。

目次
Product Code: KLI15322042

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 Kalorama Information's new report on the electronic medical records market, a market that Kalorama has covered since 2007, including our 2016 report.

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 we've 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. Kalorama Information believes 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

Kalorama Information 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.

Several leading and innovative market participants are discussed in this report along with unique niche players including:

  • 4Medica
  • Advanced MD
  • ALERT Life Sciences
  • Allmeds
  • Allscripts Healthcare Solutions
  • Amazing Charts
  • Aprima Medical Software
  • Athenahealth
  • Bizmatics
  • Cambio Healthcare Systems
  • CareCloud
  • Cerner
  • ChartLogic
  • CompuGroup Medical
  • Computer Programs & Systems
  • CSC
  • CureMD
  • drchrono
  • Dr First/Rcop
  • eClinicalWorks
  • Egton Medical Information
  • E-MDs
  • Epic
  • GE Healthcare
  • Greenway Medical
  • HealthFusion
  • Healthland
  • Henry Schein
  • IMS MAXIMS
  • InterSystems Corporation
  • Kareo
  • McKesson
  • MEDHOST
  • Meditab
  • Medical Information Technology
  • MEDITECH
  • Medsphere Systems
  • MeridianEMR, Inc
  • Microtest Ltd.
  • NextGen
  • Nextech
  • Nightingale Infomatix
  • NoemaLife S.p.A. (Dedalus S.p.A)
  • Nuesoft Technologies
  • Practice Fusion
  • Praxis
  • QuadraMed Corporation
  • Quality Systems
  • Quest Diagnostics
  • SAP AG
  • Sequel Systems, Inc
  • StreamLine MD
  • Tieto
  • WRS Health
  • Web PT

TABLE OF CONTENTS

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

5: COMPANY PROFILES

4MEDICA

  • Company Overview

ADVANCEMD

  • Company Overview

ALERT LIFE SCIENCES COMPUTING S.A.

  • Company Overview

ALLMEDS

  • Company Overview

ALLSCRIPTS HEALTHCARE SOLUTIONS

  • Company Overview
  • Company Financials

AMAZING CHARTS, LLC

  • Company Overview

APRIMA MEDICAL SOFTWARE, INC

  • Company Overview

ATHENAHEALTH, INC

  • Company Overview
  • Company Financials

BIZMATICS, INC.

  • Company Overview

CAMBIO HEALTHCARE SYSTEMS

  • Company Overview

CARECLOUD

  • Company Overview

CERNER CORPORATION

  • Company Overview
  • Company Financials

CHARTLOGIC, INC

  • Company Overview

COMPUGROUP MEDICAL AG

  • Company Overview
  • Company Financials

COMPUTER PROGRAMS AND SYSTEMS, INC

  • Company Overview
  • Company Financials

COMPUTER SCIENCES CORPORATION (CSC)

  • Company Overview
  • Company Financials

CUREMD

  • Company Overview

DRCHRONO

  • Company Overview

DR FIRST/RCOP

  • Company Overview

ECLINICALWORKS

  • Company Overview
  • Company Financials
  • E-MDS
  • Company Overview

EMIS HEALTH

  • Company Overview
  • Company Financials

EPIC SYSTEMS CORPORATION

  • Company Overview
  • Company Financials

GE HEALTHCARE

  • Company Overview
  • Company Financials

GREENWAY HEALTH, LLC

  • Company Overview
  • Company Financials

HEALTHFUSION, INC

  • Company Overview

HEALTHLAND

  • Company Overview

HENRY SCHEIN MICROMD

  • Company Overview

IBM HEALTHCARE

  • Company Overview
  • Company Financials

IMS MAXIMS

  • Company Overview

INTERSYSTEMS CORPORATION

  • Company Overview

KAREO

  • Company Overview

KRONOS INCORPORATED

  • Company Overview

MCKESSON CORPORATION

  • Company Overview
  • Company Financials

MEDHOST

  • Company Overview

MEDITAB SOFTWARE, INC

  • Company Overview

MEDICAL INFORMATION TECHNOLOGY, INC (MEDITECH)

  • Company Overview
  • Company Financials

MEDENT COMMUNITY COMPUTER SERVICE, INC.

  • Company Overview

MEDSPHERE SYSTEMS CORPORATION

  • Company Overview

MICROTEST LTD.

  • Company Overview
  • NEXTGEN HEALTHCARE INFORMATION SYSTEMS
  • Company Overview
  • Company Financials

NEXTECH

  • Company Overview

NIGHTINGALE INFOMATIX CORPORATION (NOW TELUS HEALTH)

  • Company Overview

NOEMALIFE S.P.A.

  • Company Overview

NUESOFT TECHNOLOGIES, INC

  • Company Overview

PRACTICE FUSION

  • Company Overview

QUADRAMED CORPORATION

  • Company Overview

QUALITY SYSTEMS, INC

  • Company Overview
  • Company Financials

PRAXIS

  • Company Overview

QUEST DIAGNOSTICS, INC.

  • Company Overview
  • Company Financials

SAP SE

  • Company Overview
  • Company Financials

SEQUELMED

  • Company Overview

STREAMLINE MD

  • Company Overview

TIETO

  • Company Overview
  • Company Financials

WRS HEALTH

  • Company Overview

WEBPT

  • Company Overview
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