Healthcare Information Technology

Healthcare Information Technology

BCC, Date of Publication: Apr 29, 2013
US$6,650.00
GB-HLC048D

The market environment for healthcare information systems has shifted dramatically in recent years.  After years of incremental steps toward a national healthcare information technology (IT) infrastructure, the American Recovery and Reinvestment Act (ARRA), the economic stimulus bill approved by Congress and signed into law in February 2009, provides more than $19 billion for healthcare IT spending, including more than $17 billion to promote the wider adoption of electronic health records (EHRs).  The Obama administration has made it clear that this $17 billion is only a down payment on the total cost of a national EHR system, which is generally estimated at $100 billion or more.

Modernization of the nation’s healthcare IT infrastructure is a cornerstone of the Patient Protection and Affordable Care Act (PPACA), the national healthcare system that was enacted into law in 2010.  The PPACA does not include any specific measures to encourage the adoption of EHRs beyond those already contained in the ARRA, but EHRs are one of several clinical healthcare IT technologies that have the potential to increase the availability and quality of healthcare while contributing to lower costs.

In addition to the potential benefits in terms of the quality and cost of U.S. healthcare, this is obviously a significant opportunity for suppliers of healthcare IT and related technologies.  U.S. healthcare providers spend an estimated $40 billion per year on all types of IT technologies.

GOALS AND OBJECTIVES

This report is an update of an earlier report published in 2011 whose goal is to provide an understanding of the U.S. market for selected clinical healthcare IT technologies in the context of the ongoing dramatic changes in the structure of the U.S. healthcare sector. 

Specific objectives include:

  • Identifying the segments of the clinical healthcare IT with the greatest growth potential.
  • Analyzing key market drivers and constraints.
  • Estimating the size of each market segment through 2017.
  • Providing other information on relevant laws and regulations, standards, potential funding sources, and other information that will be useful to healthcare IT suppliers seeking a share of this market.


INTENDED AUDIENCE

The report is intended especially for healthcare IT suppliers, as well as government agencies, healthcare policy analysts and others seeking to understand the cost and preconditions for the success of healthcare IT modernization initiatives.  Although the report is structured around specific technologies, it is largely nontechnical in nature.  It is, therefore, less concerned with theory and jargon than with effectiveness, what 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.

SCOPE AND FORMAT

This report is an analytical business tool whose primary purpose is to describe and analyze the dynamics of the U.S. market for healthcare 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 format includes these major elements:

  • Executive summary
  • Definitions
  • Clinical healthcare IT applications
  • Benefits and barriers to implementation
  • Market environment (e.g., legal and regulatory standards, economic conditions, consumer attitudes)
  • Historical (i.e., 2011 and 2012) and projected markets for healthcare IT technologies and products through 2017
  • Industry structure

This report provides:

  • An overview of the market for selected clinical healthcare information technologies (IT) in the context of ongoing dramatic changes in the structure of the U.S. healthcare sector.
  • Analyses of market trends, with data from 2011 and 2012, and projections of compound annual growth rates (CAGRs) through 2017.
  • Estimations of the size of each market segment.
  • Coverage of clinical IT systems that facilitate or provide input into the care process, as opposed to administrative and financial systems.
  • Comprehensive company profiles of major players.

TABLE OF CONTENTS

Chapter 1: INTRODUCTION   

    STUDY BACKGROUND
    GOALS AND OBJECTIVES
    INTENDED AUDIENCE
    SCOPE AND FORMAT
    METHODOLOGY
    AUTHOR'S CREDENTIALS
    RELATED BCC REPORTS
    BCC ONLINE SERVICES
    DISCLAIMER

Chapter 2: EXECUTIVE SUMMARY

        Table Summary : U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES, THROUGH 2017
        Figure Summary : CLINICAL HEALTHCARE TECHNOLOGIES MARKET SHARES, 2011–2017


Chapter 3: CLINICAL HEALTHCARE IT: AN OVERVIEW

    DEFINITIONS
        CLINICAL SOFTWARE
        HARDWARE DEDICATED TO CLINICAL IT APPLICATIONS
            Table 1 : MAJOR CLASSES OF HEALTHCARE IT TECHNOLOGIES
    HISTORY


Chapter 4: TYPES OF CLINICAL 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 HEALTHCARE 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
            Retail Pharmacies
        BENEFITS TO HEALTH INSURANCE PROVIDERS
    BARRIERS TO DEPLOYMENT
        COST
        LACK OF METRICS
        LACK OF STANDARDS
        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 HEALTHCARE IT
        U.S.
        OTHER COUNTRIES
    MARKET SUMMARY
            Table 3 : U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES BY APPLICATION TYPE, THROUGH 2017
            Figure 1 : U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES PRODUCT MARKET SHARES, 2011–2017
        Table 2 : MAJOR TYPES OF CLINICAL HEALTHCARE IT TECHNOLOGIES


Chapter 5: MARKET ENVIRONMENT FOR CLINICAL HEALTHCARE IT TECHNOLOGIES

    LEGAL AND REGULATORY ENVIRONMENT
        LEGISLATION
            Federal Legislation
            State Legislation
        EXECUTIVE ORDERS
            Federal Level
            State and Local Levels
        REGULATIONS
            Federal Regulations
            State and Local Regulations
        CERTIFICATION BODIES
            Certification Commission for Healthcare Information Technology
        ECONOMIC ENVIRONMENT
            Government Funding
            Nonprofit Funding
            Private Funding
            Mixed Public-Private Funding


Chapter 6: ELECTRONIC HEALTHCARE RECORDS: TECHNOLOGIES AND MARKETS

    SUMMARY
            Figure 4 : U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2011-2017
    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, 2011-2017
            Table 7 : TOTAL POTENTIAL U.S. MARKET FOR EHRS, 2012–2017
            Table 8 : POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS, THROUGH 2017
            Table 9 : REALISTIC U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, THROUGH 2017


Chapter 7: PROVIDER ORDER ENTRY TECHNOLOGIES AND MARKETS    

    SUMMARY
            Figure 5 : U.S. CPOE TECHNOLOGY MARKET, 2011-2017
    TECHNOLOGIES
    SUPPLIERS
            Table 10 : CPOE TECHNOLOGY SUPPLIERS
    MARKET FOR PROVIDER ORDER ENTRY TECHNOLOGIES, 2011-2017
            Table 11 : INSTALLED BASED OF CPOE SYSTEMS IN U.S. HOSPITALS, THROUGH 2011
            Table 12 : U.S. MARKETS FOR CPOE SYSTEMS, THROUGH 2017


Chapter 8: ELECTRONIC PRESCRIBING TECHNOLOGIES AND MARKETS

    SUMMARY
            Figure 6 : U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2011-2017
    TECHNOLOGIES
        CURRENT PRACTICES
        ELECTRONIC PRESCRIBING
            E-Prescribing Software
            Mobile Interface Devices
            Electronic Data Interchange
    SUPPLIERS
            Table 13 : E-PRESCRIPTION SOFTWARE SUPPLIERS
    MARKET FOR E-PRESCRIBING SOFTWARE, 2011-2017
            Table 14 : U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES, THROUGH 2017
            Figure 7 : U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS, 2011


Chapter 9: PICTURE ARCHIVING AND COMMUNICATIONS TECHNOLOGIES AND MARKETS

    SUMMARY
            Figure 8 : U.S. PACS TECHNOLOGY MARKET, 2011-2017
    TECHNOLOGIES
        ARCHITECTURES
        INTEGRATED PACS/RICS
        ENTERPRISE PACS
        PACS STORAGE AND ARCHIVING
    SUPPLIERS
            Table 15 : PACS TECHNOLOGY SUPPLIERS
    MARKET FOR PICTURE ARCHIVING AND COMMUNICATION TECHNOLOGIES, 2011-2017
            Table 16 : U.S. MARKET FOR PACS, THROUGH 2017


Chapter 10: LABORATORY INFORMATION SYSTEMS TECHNOLOGIES AND MARKETS

    SUMMARY
            Figure 9 : U.S. LABORATORY INFORMATION SYSTEM MARKET, 2011-2017
    TECHNOLOGIES
        INTEROPERABILITY 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, 2011-2017
            Table 18 : U.S. MARKET FOR LIS, THROUGH 2017


Chapter 11: CLINICAL DECISION SUPPORT TECHNOLOGIES AND MARKETS

    SUMMARY
            Figure 10 : U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2011-2017
    TECHNOLOGIES
        KNOWLEDGE-BASED SYSTEMS
            Expert Systems
            Probabilistic Systems
            Bayesian Networks
            Heuristic Systems
        NONKNOWLEDGE-BASED SYSTEMS
            Artificial Neural Networks
            Genetic Algorithms
        WORKFLOW INTEGRATION
    SUPPLIERS
            Table 19 : CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS
    MARKET FOR CLINICAL DECISION SUPPORT TECHNOLOGIES, 2011-2017
            Table 20 : U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH 2017


Chapter 12: TELEMEDICINE TECHNOLOGIES AND MARKETS

    SUMMARY
            Figure 11 : U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2011-2017
    TECHNOLOGIES
        VIDEOCONFERENCING TECHNOLOGIES
            Real-Time, Store-and-Forward, and Hybrid Teleconferencing
            IP-Based Videoconferencing
            Peripheral Devices
        HOME TELEMETRY TECHNOLOGIES
            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 TELEMEDICINE TECHNOLOGIES, THROUGH 2017
            Figure 12 : TELEMEDICINE TECHNOLOGY MARKET SEGMENTS, 2011-2017


Chapter 13: INDUSTRY STRUCTURE

    NUMBER AND SIZE OF FIRMS
            Figure 13 : CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY ANNUAL SALES REVENUES, 2011
    PRODUCT SPECIALIZATION
            Figure 14 : CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION
    MERGER AND ACQUISITION TRENDS


Chapter 14: COMPANY PROFILES

    AGFA HEALTHCARE
    ALLSCRIPTS HEALTHCARE SOLUTIONS INC.
    AMAZING CHARTS.COM LLC
    AMD GLOBAL TELEMEDICINE
    AMICAS INC.
    CARESTREAM HEALTH INC.
    CARETRENDS
    CERNER CORP.
    CYBERNET SYSTEMS CORP.
    DATALOGIC SPA
    DIGICHART INC.
    DRFIRST.COM
    FUJIIFILM MEDICAL SYSTEMS USA INC.
    GE HEALTHCARE
    GEMMS
    GLOBALMEDIA GROUP LLC
    HEALTHLAND
    HIGHFLEET INC.
    ISABEL HEALTHCARE INC.
    LIFECOM INC.
    LIFEWATCH AG
    LOGICAL IMAGES INC.
    MASSACHUSETTS GENERAL HOSPITAL
    MCKESSON CORP.
    MEDRX
    MEDVITAL
    MERGE HEALTHCARE INC.
    M*MODAL
    MICROSOFT CORP.
    NCD MEDICAL CORP.
    NUANCE COMMUNICATIONS INC.
    OBS MEDICAL
    PHILIPS HEALTHCARE
    POLYCOM INC.
    POSITIVEID CORP.
    SCOTTCARE CORP.
    SIEMENS HEALTHCARE
    SURESCRIPTS LLC
    TELEVITAL
    THERADOC INC.
    UNITED THERAPEUTICS CORP.
    ZYNX HEALTH INC.


Chapter 15: APPENDIX: PATENT ANALYSIS

        Figure 15 : U.S. CLINICAL HEALTHCARE IT PATENTS ISSUED SINCE 1975
        Figure 16 : U.S. CLINICAL HEALTHCARE IT PATENT APPLICATIONS PENDING AS OF FEBRUARY 15, 2013

 
List of Tables

    Summary Table : U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES, THROUGH 2017
    Table 1 : MAJOR CLASSES OF HEALTHCARE IT TECHNOLOGIES
    Table 2 : MAJOR TYPES OF CLINICAL HEALTHCARE IT TECHNOLOGIES
    Table 3 : U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES BY APPLICATION TYPE, THROUGH 2017
    Table 4 : STATE EXECUTIVE ORDERS RELATING TO HEALTH IT
    Table 5 : TYPICAL EHR FUNCTIONALITIES
    Table 6 : EHR TECHNOLOGY PROVIDERS
    Table 7 : TOTAL POTENTIAL U.S. MARKET FOR EHRS, 2012–2017
    Table 8 : POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS, THROUGH 2017
    Table 9 : REALISTIC U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, THROUGH 2017
    Table 10 : CPOE TECHNOLOGY SUPPLIERS
    Table 11 : INSTALLED BASED OF CPOE SYSTEMS IN U.S. HOSPITALS, THROUGH 2011
    Table 12 : U.S. MARKETS FOR CPOE SYSTEMS, THROUGH 2017
    Table 13 : E-PRESCRIPTION SOFTWARE SUPPLIERS
    Table 14 : U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES, THROUGH 2017
    Table 15 : PACS TECHNOLOGY SUPPLIERS
    Table 16 : U.S. MARKET FOR PACS, THROUGH 2017
    Table 17 : LABORATORY INFORMATION SYSTEM SUPPLIERS
    Table 18 : U.S. MARKET FOR LIS, THROUGH 2017
    Table 19 : CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS
    Table 20 : U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH 2017
    Table 21 : TELEMEDICINE EQUIPMENT AND TECHNOLOGY SUPPLIERS
    Table 22 : U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, THROUGH 2017


List of Figures

    Summary Figure : CLINICAL HEALTHCARE TECHNOLOGIES MARKET SHARES, 2011–2017
    Figure 1 : U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES PRODUCT MARKET SHARES, 2011–2017
    Figure 2 : TRENDS IN PROJECTED FEDERAL HEALTH IT SPENDING, 2011-2017
    Figure 3 : TRENDS IN U.S. HOSPITALS' IT SPENDING, 2011-2017
    Figure 4 : U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2011-2017
    Figure 5 : U.S. CPOE TECHNOLOGY MARKET, 2011-2017
    Figure 6 : U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2011-2017
    Figure 7 : U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS, 2011
    Figure 8 : U.S. PACS TECHNOLOGY MARKET, 2011-2017
    Figure 9 : U.S. LABORATORY INFORMATION SYSTEM MARKET, 2011-2017
    Figure 10 : U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2011-2017
    Figure 11 : U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2011-2017
    Figure 12 : TELEMEDICINE TECHNOLOGY MARKET SEGMENTS, 2011-2017
    Figure 13 : CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY ANNUAL SALES REVENUES, 2011
    Figure 14 : CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION
    Figure 15 : U.S. CLINICAL HEALTHCARE IT PATENTS ISSUED SINCE 1975
    Figure 16 : U.S. CLINICAL HEALTHCARE IT PATENT APPLICATIONS PENDING AS OF FEBRUARY 15, 2013

 

Date of Publication:
Apr 29, 2013
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