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New PublicationsThe goal of this study is to provide an understanding of the U.S. market for selected clinical health care IT technologies in the context of dramatic changes in the structure of the U.S. health care sector.
Specific objectives include:
The report is intended especially for health care IT suppliers, as well as government agencies, health care policy analysts and others seeking to understand the cost and preconditions for the success of health care IT modernization initiatives. Although the report is structured around specific technologies, it is largely non-technical in nature. It is therefore less concerned with theory and jargon than with effectiveness, the amount the market is likely to purchase, and the going price.
As such, the report’s main audience is executive management and marketing and financial analysts. It is not written specifically for scientists and technologists, although its findings concern the market for their work, including the availability of government and corporate research funding for different technologies and applications.
This report is an analytical business tool whose primary purpose is to describe and analyze the dynamics of the U.S. market for health care technology. It is particularly focused on clinical IT systems that facilitate or provide input into the care process, as opposed to administrative and financial systems. It covers only software applications, as well as dedicated hardware and online services used to run them.
The study scope includes these major elements:
This Report Highlights:
TABLE OF CONTENTS
Chapter-1: EXECUTIVE SUMMARY
SUMMARY TABLE U.S. MARKET FOR CLINICAL HEALTH CARE IT TECHNOLOGIES, THROUGH 2014 ($ MILLIONS) |
SUMMARY FIGURE CLINICAL HEALTH CARE TECHNOLOIGES MARKET SHARES, 2008-2014 (%) |
Chapter-2: CLINICAL HEALTH CARE IT: AN OVERVIEW
DEFINITIONS |
TABLE 1 MAJOR CLASSES OF HEALTH CARE IT TECHNOLOGIES |
CLINICAL SOFTWARE |
HARDWARE DEDICATED TO CLINICAL IT APPLICATIONS |
HISTORY |
Chapter-3: TYPES OF CLINICAL IT TECHNOLOGIES
TABLE 2 MAJOR TYPES OF CLINICAL HEALTH CARE IT TECHNOLOGIES |
ELECTRONIC HEALTH RECORDS |
PROVIDER ORDER ENTRY SYSTEMS FOR DRUGS, LAB TESTS, AND PROCEDURES |
ELECTRONIC PRESCRIBING SYSTEM |
PICTURE ARCHIVING AND COMMUNICATION SYSTEMS FOR FILMLESS IMAGING |
LABORATORY INFORMATION SYSTEMS |
CLINICAL DECISION SUPPORT SYSTEMS |
TELEMEDICINE |
OTHER RELATED AND SUPPORTING TECHNOLOGIES |
Personal Health Records |
Radio Frequency Identification |
VeriChip |
Bar Coding |
Speech Recognition |
Medical Equipment Interfaces |
BENEFITS OF CLINICAL HEALTH CARE IT TECHNOLOGIES |
BENEFITS TO PATIENTS |
Improved Quality of Care |
Lower Costs |
Wider Availability of Health Insurance |
BENEFITS TO HOSPITALS, PHYSICIANS, AND OTHER CAREGIVERS |
Clinical Efficiencies and Improved Quality |
Verification of Insurance Eligibility and Benefits |
Patient Satisfaction |
Image and Public Relations |
Reduced Malpractice Risk |
Employee Morale |
BENEFITS TO THE PHARMACEUTICAL INDUSTRY |
Pharmaceutical Manufacturers |
Improved Drug Safety Surveillance |
Clinical Trial Recruitment |
Support of Regulatory Approval |
Retail Pharmacies |
Opportunities to Increase Revenues |
BENEFITS TO HEALTH INSURANCE PROVIDERS |
BARRIERS TO DEPLOYMENT |
COST |
LACK OF METRICS |
LACK OF STANDARDS |
Clinical Vocabularies |
Clinical Ontologies |
COMPATIBILITY |
Backwards Compatibility |
Sideways Compatibility |
Forwards Compatibility |
WIDE RANGE OF SOFTWARE CHOICES |
LACK OF PERSONNEL WITH APPROPRIATE SKILLS |
LIMITED FINANCIAL RETURNS ON HEALTH IT INVESTMENTS |
PRIVACY CONCERNS |
SAFETY ISSUES |
LEGAL LIABILITY |
Privacy |
Safety |
PREVIOUS IMPLEMENTATIONS OF HEALTH CARE IT |
U.S. |
U.S. Department of Veterans Affairs |
Cedars Sinai Medical Center Physician Order Entry System |
Santa Barbara County Care Data Exchange |
OTHER COUNTRIES |
U.K. National Health Service National Programme for IT |
Alberta (Canada) Net care |
MARKET SUMMARY |
TABLE 3 U.S. MARKET FOR CLINICAL HEALTH CARE IT TECHNOLOGIES BY APPLICATION TYPE, THROUGH 2014 ($ MILLIONS) |
FIGURE 1 U.S. MARKET FOR CLINICAL HEALTH CARE IT TECHNOLOGIES PRODUCT MARKET SHARES, 2008–2014 (%) |
Chapter-4: MARKET ENVIRONMENT FOR CLINICAL HEALTH CARE IT TECHNOLOGIES
LEGAL AND REGULATORY ENVIRONMENT |
LEGISLATION |
Federal Legislation |
Better Healthcare through Information Technology Act of 2005 |
Medicare Value Purchasing Act |
Health Information Technology Promotion Act |
Wired for Health Care Quality Act |
American Recovery and Reinvestment Act of 2009 |
State Legislation |
Massachusetts |
Minnesota |
New Mexico |
Rhode Island |
Vermont |
EXECUTIVE ORDERS |
Federal Level |
Executive Order 13335 |
Executive Order 13410 |
State and Local Levels |
TABLE 4 STATE EXECUTIVE ORDERS RELATING TO HEALTH IT |
REGULATIONS |
Federal Regulations |
Potential FDA Regulation of HER |
EHR and HIPAA |
HHS Regulations to Facilitate Adoption of Health Information Technology |
State and Local Regulations |
CERTIFICATION BODIES |
Certification Commission For Healthcare Information Technology |
ECONOMIC ENVIRONMENT |
Government Funding |
Federal Government |
FIGURE 2 TRENDS N PROJECTED FEDERAL HEALTH IT SPENDING, 2008–2013 ($ BILLIONS) |
Other Government Entities |
• Massachusetts |
• Minnesota |
• New York State |
• New York City |
• Vermont |
Nonprofit Funding |
California Health Care Foundation |
Colorado Health Foundation |
Regenstrief Institute |
Markle Foundation |
Robert Wood Johnson Foundation |
Private Funding |
Care Providers |
• Investment and Financing Trends in the Hospital Industry |
FIGURE 3 EFFECT OF ECONOMIC DOWNTURN ON HOSPITALS’ IT SPENDING (%) |
• Physician Practice Financial Trends |
• Implications for ARRA Incentive Program |
Insurance Companies |
• Hawaii Medical Service Association |
• Highmark Health Insurance |
Mixed Public-Private Funding |
Washington Health Information Collaborative |
Chapter-5: ELECTRONIC HEALTH CARE RECORDS: TECHNOLOGIES AND MARKETS
SUMMARY |
FIGURE 4 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
EHR VERSUS EMR |
EHR FUNCTIONALITIES |
TABLE 5 TYPICAL EHR FUNCTIONALITIES |
CLIENT/SERVER ARCHITECTURE VERSUS APPLICATION SERVICE PROVIDER |
SUPPLIERS |
TABLE 6 EHR TECHNOLOGY PROVIDERS |
MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2008–2014 |
IMPACT OF THE U.S. RECESSION |
IMPACT OF ARRA |
TABLE 7 ARRA INCENTIVES AND THE MARKET FOR EHR |
TABLE 8 POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS, THROUGH 2015 ($ BILLIONS) |
CONSTRAINTS ON IMPLEMENTATION CAPACITY |
TABLE 9 REALISTIC U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, THROUGH 2014 ($ MILLIONS) |
Chapter-6: PROVIDER ORDER ENTRY TECHNOLOGIES AND MARKETS, 2008–2014
SUMMARY |
FIGURE 5 U.S. CPOE TECHNOLOGY MARKET, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
SUPPLIERS |
TABLE 10 CPOE TECHNOLOGY SUPPLIERS |
MARKET FOR PROVIDER ORDER ENTRY TECHNOLOGIES, 2008–2014 |
TABLE 11 NUMBER OF U.S. HOSPITALS WITH CPOE SYSTEMS, 2002–2007 |
TABLE 12 U.S. MARKET FOR CPOE SYSTEMS, THROUGH 2014 ($ MILLIONS) |
Chapter-7: ELECTRONIC PRESCRIBING: TECHNOLOGIES AND MARKETS, 2008–2014
SUMMARY |
FIGURE 6 U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
CURRENT PRACTICES |
ELECTRONIC PRESCRIBING |
E-Prescribing Software |
Installed Applications |
Web-Based Applications |
Mobile Interface Devices |
PDAs |
Smart Phones |
Electronic Data Interchange |
SUPPLIERS |
TABLE 13 E-PRESCRIPTION SOFTWARE SUPPLIERS |
MARKET FOR E-PRESCRIBING SOFTWARE, 2008–2014 |
TABLE 14 U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES, THROUGH 2014 ($ MILLIONS) |
FIGURE 7 U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS (%) |
Chapter-8: PICTURE ARCHIVING AND COMMUNICATIONS TECHNOLOGIES AND MARKETS, 2008–2014
SUMMARY |
FIGURE 8 U.S. PACS TECHNOLOGY MARKET, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
ARCHITECTURES |
In-House PACS |
Web-Based PACS |
DICOM and Web-Based PACS |
INTEGRATED PACS/RICS |
PACS STORAGE AND ARCHIVING |
Advanced Storage Technologies |
Holographic Storage |
Digital Image Compression |
SUPPLIERS |
TABLE 15 PACS TECHNOLOGY SUPPLIERS |
MARKET FOR PICTURE ARCHIVING AND COMMUNICATION TECHNOLOGIES, 2008–2014 |
FIGURE 9 U.S. PACS SALES, 2008 (%) |
TABLE 16 U.S. MARKET FOR PACS, THROUGH 2014 ($ MILLIONS) |
Chapter-9: LABORATORY INFORMATION SYSTEMS TECHNOLOGIES AND MARKETS, 2008–2014
SUMMARY |
FIGURE 10 U.S. LABORATORY INFORMATION SYSTEM MARKET, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
INTEROPERABIILTY ISSUES |
LIS-CPOE Interoperability |
LIS-CDSS Interoperability |
LIS-EHR Interoperability |
DATA STANDARDS |
SUPPLIERS |
TABLE 17 LABORATORY INFORMATION SYSTEM SUPPLIERS |
MARKET FOR LABORATORY INFORMATION SYSTEMS TECHNOLOGIES, 2008–2014 |
TABLE 18 U.S. MARKET FOR LIS, THROUGH 2014 ($ MILLIONS) |
Chapter-10: CLINICAL DECISION SUPPPORT TECHNOLOGIES AND MARKETS, 2008–2014
SUMMARY |
FIGURE 11 U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
KNOWLEDGE-BASED SYSTEMS |
Expert Systems |
Probabilistic Systems |
Bayesian Networks |
Heuristic Systems |
NON-KNOWLEDGE-BASED SYSTEMS |
Artificial Neural Networks |
Genetic Algorithms |
WORKFLOW INTEGRATION |
SUPPLIERS |
TABLE 19 CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS |
MARKET FOR CLINICAL DECISION SUPPORT TECHNOLOGIES, 2008–2014 |
TABLE 20 U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH 2014 ($ MILLIONS) |
Chapter-11: TELEMEDICINE TECHNOLOGIES AND MARKETS, 2008–2014
SUMMARY |
FIGURE 12 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2008–2014 ($ MILLIONS) |
TECHNOLOGIES |
TELECONFERENCING |
Real-Time, Store-and-Forward, and Hybrid Teleconferencing |
IP-Based Videoconferencing |
Peripheral Devices |
HOME MEDICAL TELEMETRY |
Telehomecare |
Mobile Phone-Based Technologies |
Bluetooth |
Signal Transmission via Human Skin |
ZigBee |
SUPPLIERS |
TABLE 21 TELEMEDICINE EQUIPMENT AND TECHNOLOGY SUPPLIERS |
MARKETS |
TABLE 22 U.S. MARKET FOR TELEHEALTH TECHNOLOGIES, THROUGH 2014 ($ MILLIONS) |
FIGURE 13 TELEHEALTH TECHNOLOGY MARKET SEGMENTS, 2008–2014 (%) |
VIDEOCONFERENCING EQUIPMENT AND PERIPERALS |
TABLE 23 U.S. MARKET FOR TELEMEDICINE VIDEOCONFERENCING EQUIPMENT AND PERIPHERAL DEVICES, THROUGH 2014 ($ MILLIONS) |
Videoconferencing Equipment |
FIGURE 14 U.S. MARKET FOR TELEMEDICINE VIDEOCONFERENCING TECHNOLOGY AND SERVICES, 2008 (%) |
TABLE 24 U.S. MARKET FOR TELEMEDICINE VIDEOCONFERENCING TECHNOLOGIES, THROUGH 2014 ($ MILLIONS) |
Peripheral Devices |
TABLE 25 U.S. MARKET FOR TELEMEDICINE/TELEHEALTH VIDEOCONFERENCING PERIPHERAL DEVICES, THROUGH 2014 ($ MILLIONS) |
HOME MEDICAL TELEMETRY |
TABLE 26 U.S. MARKET FOR HOME TELEMETRY TECHNOLOGIES, THROUGH 2014 ($ MILLIONS) |
Chapter-12: INDUSTRY STRUCTURE
NUMBER AND SIZE OF FIRMS |
FIGURE 15 CLINICAL HEALTH CARE IT FIRMS SEGMENTED BY ANNUAL SALES REVENUES (%) |
PRODUCT SPECIALIZATION |
FIGURE 16 CLINICAL HEALTH CARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION (%) |
MERGER AND ACQUISITION TRENDS |
Chapter-13: APPENDIX
APPENDIX A: COMPANY PROFILES |
AGFA HEALTHCARE |
ALLSCRIPTS, INC. |
AMAZING CHARTS.COM, INC |
AMD TELEMEDICINE |
AMICAS, INC. |
CARD GUARD AG |
CARESTREAM HEALTH, INC. |
CERNER CORP. |
CYBERNET SYSTEMS CORP. |
DATALOGIC S.P.A. |
DIGICHART, INC. |
DRFIRST.COM |
ECLIPSYS CORPORATION |
EMEGEON INC. |
FUJIIFILM MEDICAL SYSTEMS USA, INC. |
GE HEALTHCARE |
GEMMS |
GLOBALMEDIA GROUP LLC |
HEALTH FRONTIER, INC. |
HEALTHLAND |
ISABEL HEALTHCARE INC. |
LANGUAGE AND COMPUTING, INC. |
LIFECOM, INC. |
LOGICAL IMAGES, INC. |
MASSACHUSETTS GENERAL HOSPITAL |
MCKESSON CORP. |
MEDRX |
MEDVITAL |
MERGE HEALTHCARE INC. |
M*MODAL |
MICROSOFT CORP. |
NCD MEDICAL CORP. |
NUANCE COMMUNICATIONS, INC. |
ONTOLOGY WORKS, INC. |
PHILIPS HEALTHCARE |
POLYCOM INC. |
PROBLEM-KNOWLEDGE COUPLERS |
SCOTTCARE CORP. |
SENSITRON INC. |
SIEMENS HEALTHCARE |
SURESCRIPTS LLC |
T+ MEDICAL AMERICAS, INC. |
TELEVITAL |
THERADOC INC. |
UNITED THERAPEUTICS CORP. |
VERICHIP CORPORATION |
ZYNX HEALTH INC. |
APPENDIX B: PATENT ANALYSIS |
FIGURE 17 U.S. CLINICAL HEALTH CARE IT PATENTS ISSUED SINCE 1975 (%) |
FIGURE 18 U.S. CLINICAL HEALTH CARE IT PATENT APPLICATOINS PENDING AS OF APRIL 15, 2009 (%) |
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