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EMR 2011: The Market for Electronic Medical Record Systems
March 1, 2011
For several years Kalorama Information has been studying the trend of electronic
medical records (EMR) and electronic health records (EHR). What was already a fast-
growing market dramatically changed in 2009 when as part of the ARRA stimulus law,
the US Government provided incentives for physicians and hospitals to use systems.
Those incentives have now been clarified and in 2011, the first checks have been
issued. What will be the impact of those incentives, as well as vendor actions, and what
will happen in this market in the years to come?
This report, EMR 2011 , Kalorama's most recent look at the market and trends
impacting electronic medical record software and related services, seeks to answer that
question and provide crucial data for business planning. Included in the report are
statistics influencing the industry, demographics; life expectancy, and company
strategies. Information is presented as a U.S. market, with a section on key international
markets. A market summary includes a total market analysis. Also included is a
competitive analysis of leading EMR system providers.
The report includes:
Current Market for EMR and Forecast
Hospital and Physician EMR Adoption Statistics
Pricing of Select EMR Systems
ROI for Physicians
Profiles of Major Vendors
Mergers and Acquisitions
Current Vendors with CCHIT Qualification
Summary of Third-Party EMR User Survey Results
Analyst Conclusions Regarding the EMR Market
The information for this report was gathered using both primary and secondary research
including comprehensive research of secondary sources such as company literature,

2. databases, investment reports, and medical and business journals. Telephone
interviews and email correspondence were the primary method of gathering information.
Among the trend impacting the marketplace are the following:
Meaningful Use
Stimulus Guarantee
Challenges to Healthcare Reform
Cloud Computing
Stark Law
Discreet Recordable Transcription
Regional Extension Centers
Personnel Issues
Security Breaches/Portable Devices
Doctor’s Surveys
Interoperability
Smart Cards Technology
Wireless Technologies
Open Source EMR Applications
Usability And Adoption
Physician Group Practices And the Recession
Quality of Care/Malpractice/Security
Cost-Benefit Analysis
ROI For a Typical Physician Practice
Implementation Costs and ROI for Hospitals
Privacy Issues
Technology Limitations
Social and Organizational Barriers
CCHIT
NHIN
Results of WalMart and Dell Launches
Direct PPC Offerings
International Markets
For the purpose of this study, Kalorama Information conducted interviews with more
than 22 key industry officials, consultants, health care providers, and government
personnel. These sources were the primary basis in gathering information specifically
relating to revenue and market share data presented in this report. Additional interviews
were completed with relevant company representatives including marketing directors,
division managers, and product representatives.
As part of its coverage, the following companies are profiled in this report:
Allscripts Healthcare Solutions
Aprima Medical Software, Inc
Cerner Corporation

3. Computer Programs and Systems, Inc.
eClinicalworks
Epic Systems, Inc.
GE Healthcare
Medical Information Technology, Inc. (MEDITECH, Inc.)
MedPlus, Inc.
McKesson Corporation
NextGen Healthcare Information Systems/QSI
Practice Fusion
Quadramed Corporation
Siemens Medical Solutions
Other select EMR companies are profiled in brief...
All market data pertains to the world market at the manufacturers’ level. The base year
for data was 2010. Historical data was provided for the years 2008 and 2009, with
forecast data provided for 2010 through 2015. Compound annual growth rates (CAGRs)
are provided for the 2008-2010 and 2011-2015 periods for each region and/or segment
covered. Competitive analysis is provided for the year 2010. The forecasted market
analysis for 2011-2015 was largely based on demographic trends, new developments,
company performance trends, merger and acquisitions, and national expansion.
Additional Information
center>EMR Market Grew in 2010, Despite Confusion Over Meaningful Use
Despite some slower than expected growth in EMR system sales due to confusion over
vendor qualifications and federal guidelines, the EMR market grew in 2010 and it should
see its best years ahead, according to research from Kalorama Information. The
healthcare market research publisher's latest report, EMR 2011: The Market for
Electronic Medical Record Systems, values the market for EMR at $15.7 billion in
2010.
According to the report, the growth rate of 10% in 2009 and 13.6% in 2010 was a little
slower than anticipated (Kalorama had predicted 15% growth for both years), the result
of some hesitation on the part of physicians confused about meaningful use guidelines.
But despite the slower rate of growth, considerable growth did occur. Physician
adoption has improved and incentive checks have been issued. Survey results show
physician usage of EMR near 50%, and Kalorama Information believes adoption and
upgrading activities will be brisk in coming years. As new systems are sold, companies
will still earn revenues from existing clients in servicing and consulting. Kalorama
expects over 18-20% market growth for the next two years.

4. "We think that while progress was made in physician adoption and in vendor sales,
there is still a lot more potential," said Bruce Carlson, publisher of Kalorama Information.
"There are still a considerable number of physicians who need to be fully functional and
hospitals that have to improve their stage ranking."
The report includes revenues for EMR and CPOE systems, and also directly related
services, such as installation, training, and consulting, which are often the key profit
areas for companies. Kalorama's forecast assumes that EMR usage will continue to
increase, as hospital EMR adoption will encourage physician adoption, current EMR
Stage 3 hospitals will purchase more advanced systems and current EMR owners will
upgrade. Most importantly, however, Kalorama believes that the threat of penalties in
2015--reduced CMS payments for those that do not engage in meaningful use of
electronic record--will force doctors and hospitals to make upgrade decisions.
"The stick is stronger than the carrot when it comes to the ARRA incentive-penalty
equation," said Carlson. "We continue to believe that and we think it's the industry's
consensus as well. While the policy already picked up those oriented towards
technology, the penalties will force conversion and upgrading in the future. And those
decisions will happen in the next two years, before the penalties kick in."
More information on key companies in EMR, the pricing of products, physician and
hospital adoption statistics and important conclusions about the market can be found in
EMR 2011: The Market for Electronic Medical Record Systems. The report provides
a breakout between the hospital and physician/web market and is the result of research
into company publications and interviews with industry personnel. For more information,
please visit: http://www.kaloramainformation.com/EMR-Electronic-Medical-6164654/.
Table of Contents
CHAPTER ONE: EXECUTIVE SUMMARY
Industry at a Glance
Scope and Methodology
Physician Use of EMR
Percentage and Increase of Physician Usage of EMR
Percentage EMR Usage, 2006-2010
A Deeper Look at Physician Usage Statistics
Trend in Adoption Rate of EMR, 2007-2010
Analysis of Physician EMR Use Numbers
(Basic/Some Use vs. Fully Functional)
Status of Paperless Medicine
Hospital Use of EMR
Size and Growth of the Market
Key Issues and Trends Affecting the Market
Leading Market Participants

5. Conclusions
CHAPTER TWO: INDUSTRY OVERVIEW
Introduction
The Medical Record
The Electronic Medical Record
Industry Terminology
Industry Structure
Physician Adoption of EMRs 2006-2010
Advantages
Increased Access and Efficiency
Improved Documentation
Quality of Care
Increased Resources
Quality Assurance
Eliminates Costs
Disadvantages
Reliability
Accountability
Patient Privacy
EMR Software
Hardware Requirements
Components of 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
Pricing of EMRs
US EMR Adoption Model
CHAPTER THREE: EMERGING TRENDS
Meaningful Use
Economic Stimulus Package
Stimulus Guarantee
Challenges to Healthcare Reform
Cloud Computing
Mergers and Acquisitions
Stark Law
Discreet Recordable Transcription
Regional Extension Centers
Personnel Issues
Security Breaches/Portable Devices
National Physician Education Program
The Personal Health Record System
Doctor’s Surveys -AAFP, ACP, Medscape

6. Interoperability
Dimensions of Interoperability
Benefits
Smart Cards Technology
Wireless Technologies
Open Source EMR Applications
Benefits of Open Source EMR Applications
Adoption Issues
Usability And Adoption
Physician Group Practices And the Recession
Quality of Care/Malpractice/Security
Cost-Benefit Analysis
ROI For a Typical Physician Practice
Implementation Costs and ROI for Hospitals
Summary
Privacy Issues
Technology Limitations
Social and Organizational Barriers
CCHIT
NHIN
Results of WalMart and Dell Launches
PPC Direct OfferingsInternational Markets and Trends
Europe Asia, and Other EMR Markets
The US Market
CHAPTER FOUR: LEADING MARKET PARTICIPANTS
Allscripts Healthcare Solutions
Aprima Medical Software, Inc
Cerner Corporation
Computer Programs and Systems, Inc.
eClinicalworks
Epic Systems, Inc.
GE Healthcare
Medical Information Technology, Inc. (MEDITECH, Inc.)
MedPlus, Inc.
McKesson Corporation
NextGen Healthcare Information Systems/QSI
Practice fusion
Quadramed Corporation
Siemens Medical Solutions
CHAPTER FIVE: COMPANIES IN BRIEF
Abraxas Medical Solutions
Amazing Charts
Athenahealth
BizMatics
ChartLogic
CureMD

7. e-MDs
Dr First/Rcop
Healthland
Henry Schein
Keane
LLS Data Systems
Medsphere Systems
MeridianEMR, Inc
Nightingale Infomatix
Sage North America, Inc
Sequel Systems, Inc
SoapWare, Inc
StreamLine MD
SuiteMed
Waiting Room Solutions
Web PT
CHAPTER SIX: MARKET ANALYSIS
Market Overview
Market by Segment
Competitive Analysis
CHAPTER SEVEN: CONCLUSIONS
Overview
Conclusion One
Conclusion Two
Conclusion Three
Conclusion Four
Conclusion Five
Conclusion Six
Conclusion Seven
Conclusion Eight
Conclusion Nine
Conclusion Ten
Conclusion Eleven
APPENDIX I - DEFINITION OF INDUSTRY PRODUCTS
APPENDIX II - LIST OF SELECT MAJOR COMPANIES
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