U.S. MARKET OVERVIEW
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1 U.S. MARKET OVERVIEW Hospital Document/ Electronic Forms Management Applications 2010 Year End Report This historical report of the U.S. hospital market is brought to you as an online resource from the Dorenfest Institute.
2 Document/Electronic Forms Management Summary of Installation (2009/2010) Document Management Electronic Forms Management 41% 49% 59% 65% Nearly two-thirds of US hospitals used a document management solution in Nearly half of US hospitals used an electronic forms management solution. The adoption of both solutions increased compared to (N=5,235) 2010 (N=5,281)
3 Document/Electronic Forms Management Summary of Plans (in Not Automated Hospitals) Document Management Electronic Forms Management 1,801 2, % 2.55% Plans for first time purchases are minimal for document management and electronic forms management applications. About three percent of hospitals that don t current use these solutions plan to purchase document management software for the first time. Numbers in white represent the number of not automated hospitals. Percent of "Not Automated" Hospitals Planning to Purchase Software
4 Document/Electronic Forms Management Summary of Plans (Replacing Current Software) Document Management 3, % Replacement activity will be minimal in this market. Activity may be slightly greater for document management applications by volume and percent. Electronic Forms Management 0.19% (2578) Numbers in white and in parenthesis represents number of hospitals with installed or contracted systems Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
5 Document/Electronic Forms Management Summary of Plans Document Management (n=61) Electronic Forms Management (n=43) 12% 25% 88% 75% The majority of the hospitals that plan to purchase document and electronic forms management applications will purchase the technology for the first time. Percent of Hospitals with Installed Software Percent of Hospitals Planning to Purchase Software for the First Time
6 Summary of Installation Only 2,321 of the 5,281 US hospitals in this report (44 percent) have installed software for both document management and electronic forms management. Of these hospitals, 921 facilities (40 percent) use the same technology vendor for both electronic forms and document management. An additional 1,381 hospitals (26 percent) have installed software or contract to install one of the two applications. The majority of these hospitals 81 percent (1,124) are using document management. The remaining 1,579 hospitals (30 percent) do not use software for either of these two applications areas.
7 Document Management Top 10 Installed and Contracted Systems MCKESSON % MEDITECH % CERNER CORPORATION % PERCEPTIVE SOFTWARE, INC % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % CPSI % EMC CORP % HEALTHLAND % CGI % 100 Vendors share the remaining 31.37% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 3,360
8 Document Management Top 10 Installed/Contracted Systems Hospitals Under 100 Beds PERCEPTIVE SOFTWARE, INC % CPSI % MEDITECH % MCKESSON % HEALTHLAND % CERNER CORPORATION % EMC CORP % HEALTHCARE MANAGEMENT SYSTEMS, INC % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % 71 Vendors share the remaining 24.02% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,424
9 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON % MEDITECH % CERNER CORPORATION % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % PERCEPTIVE SOFTWARE, INC % CGI % CPSI % EMC CORP % SELF-DEVELOPED % OPEN TEXT CORPORATION % 46 Vendors share the remaining 23.26% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 705
10 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON % MEDITECH % CERNER CORPORATION % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % OPEN TEXT CORPORATION % CGI % MEDPLUS, a Quest Diagnostics Company % 3M HEALTH INFORMATION SYSTEMS % SELF-DEVELOPED % 46 Vendors share the remaining 27.67% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 459
11 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON % CERNER CORPORATION % MEDITECH % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % MEDPLUS, a Quest Diagnostics Company % PERCEPTIVE SOFTWARE, INC % STREAMLINE HEALTH SOLUTIONS, INC % QUADRAMED % 4 VENDORS TIED WITH THE SAME NUMBER OF INSTALLTION AND MARKET SHARE 42 Vendors share the remaining 23.17% of the market. N = % * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
12 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON % CERNER CORPORATION % SIEMENS HEALTHCARE % HYLAND SOFTWARE, INC % MEDITECH % MEDPLUS, a Quest Diagnostics Company % SELF-DEVELOPED % PERCEPTIVE SOFTWARE, INC % CGI % 2 VENDORS TIED WITH THE SAME NUMBER OF INSTALLTION AND MARKET SHARE 22 Vendors share the remaining 17.58% of the market. N = % * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
13 Document Management Top 10 Installed/Contracted Systems Hospitals 500+ Beds MCKESSON % HYLAND SOFTWARE, INC % CERNER CORPORATION % SIEMENS HEALTHCARE % STREAMLINE HEALTH SOLUTIONS, INC % 3M HEALTH INFORMATION SYSTEMS % CGI % MEDITECH % EMC CORP % MEDPLUS, a Quest Diagnostics Company % 26 Vendors share the remaining 26.18% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 275
14 Electronic Forms Top 10 Installed and Contracted Systems FORMFAST, INC % SELF-DEVELOPED % CERNER CORPORATION % STANDARD REGISTER % CPSI % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON % ACCESS % HEALTHLAND % HEALTHCARE MANAGEMENT SYSTEMS, INC % 47 Vendors share the remaining 23.68% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 2,454
15 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Under 100 Beds FORMFAST, INC % CPSI % SELF-DEVELOPED % HEALTHLAND % CERNER CORPORATION % HEALTHCARE MANAGEMENT SYSTEMS, INC % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON % STANDARD REGISTER % ACCESS % 36 Vendors share the remaining 17.88% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,029
16 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % MCKESSON % CERNER CORPORATION % BOTTOMLINE TECHNOLOGIES, INC % SELF-DEVELOPED % STANDARD REGISTER % ACCESS % SIEMENS HEALTHCARE % CGI % IATRIC SYSTEMS, INC % 29 Vendors share the remaining 19.85% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 524
17 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % STANDARD REGISTER % BOTTOMLINE TECHNOLOGIES, INC % SELF-DEVELOPED % CERNER CORPORATION % MCKESSON % ACCESS % 3M HEALTH INFORMATION SYSTEMS % EPIC % IATRIC SYSTEMS, INC % 24 Vendors share the remaining 19.39% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 330
18 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % STANDARD REGISTER % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON % ACCESS % SELF-DEVELOPED % CERNER CORPORATION % EPIC % SIEMENS HEALTHCARE % MEDPLUS, a Quest Diagnostics Company % 23 Vendors share the remaining 22.51% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 231
19 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % STANDARD REGISTER % CERNER CORPORATION % MCKESSON % BOTTOMLINE TECHNOLOGIES, INC % SELF-DEVELOPED % SIEMENS HEALTHCARE % EPIC % CPSI % ACCESS % 11 Vendors share the remaining 9.29% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor installed. N = 140
20 Electronic Forms Top 10 Installed/Contracted Systems Hospitals 500+ Beds STANDARD REGISTER % FORMFAST, INC % CERNER CORPORATION % SELF-DEVELOPED % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON % 3M HEALTH INFORMATION SYSTEMS % EPIC % QUADRAMED % HYLAND SOFTWARE, INC % 20 Vendors share the remaining 22.00% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor installed. N = 200
21 Document Management Vendors Being Considered for a Planned Purchase HEALTHLAND # of Times Considered HEALTHLAND 7 MEDITECH 7 CPSI 6 MCKESSON 6 HYLAND SOFTWARE, INC. 6 CERNER CORPORATION 6 HEALTHCARE MANAGEMENT SYSTEMS, INC. 3 PERCEPTIVE SOFTWARE, INC. 2 QUADRAMED 2 8 ADDITIONAL VENDORS UNDER CONSIDERATION 8
22 Electronic Forms Vendors Being Considered for a Planned Purchase Vendor # of Times Considered HEALTHLAND 6 CPSI 6 MCKESSON 4 HEALTHCARE MANAGEMENT SYSTEMS, INC ADDITIONAL VENDORS UNDER CONSIDERATION 10
23 Document/Electronic Forms Management Temporal Summary of Installation Document Management (n=1188) Electronic Forms Management (n=742) 31% 37% 59% 54% The majority of contracts for all document and electronic forms management solutions have been signed after 1999; half have been signed since Prior to to to to to to 2010
24 Contact HIMSS Analytics Phone: Fax: Web:
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