U.S. MARKET OVERVIEW
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1 U.S. MARKET OVERVIEW Hospital Nursing 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 Nursing Applications Summary of Installation (2009/2010) Nursing Documentation Electronic Medication Administration Record (emar) Nurse Staffing / Scheduling Patient Acuity (formerly Nurse Acuity) 26% 29% 73% 77% 64% 72% 62% 65% The installation rates (which includes planned installation) for the four nursing applications in this suite have all increased in the past year. emar showed the largest increase at eight percent, followed by nursing documentation at four percent (n=5,235) 2010 (n=5,281)
3 Nursing Applications Summary of Plans (in Not Automated Hospitals) Electronic Medication Administration Record (emar) Nursing Documentation Nurse Staffing/ Scheduling 1,453 1, % (1,849) 7.32% 8.95% Almost nine percent of hospitals that don t currently use emar software plan to make a future purchase. More than seven percent of hospitals that do not have nurse documentation software are also planning to make a purchase. Patient Acuity (formerly Nurse Acuity) 0.38% (3,720) Number in white and parentheses represents number of not automated hospitals. Percent of "Not Automated" Hospitals Planning to Purchase Software
4 Nursing Applications Summary of Plans (Replacing Current Software) Nurse Documentation Electronic Medication Administration Record (emar) Nurse Staffing/Scheduling 0.51% 0.39% 0.26% (4,085) (3,810) (3,408) In general, hospitals are unlikely to replace their existing nursing applications. By volume and percent, nurse documentation is the nursing application that is most likely to be replaced. Patient Acuity (formerly Nurse Acuity) 0.26% (1,530) Numbers in parentheses represent number of hospitals with installed or contracted systems Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
5 Nursing Applications Summary of Plans Electronic Medication Administration Record (emar) (n=145) Nurse Staffing/Scheduling (n=31) Nursing Documentation (n=107) 20% 29% 90% 80% 71% The majority of purchases for nursing applications will be first time purchases. At least 70 percent of purchases for each of the applications in this suite will be first time purchases. Patient Acuity (formerly Nurse Acuity) (n=18) 22% 78% Percent of Hospitals with Installed Software - Replacing Percent of Hospitals Planning to Purchase Software for the First Time
6 Summary of Installation Approximately one-quarter percent of US hospitals (1,199) have all four nursing applications tracked in this report installed or have signed a contracted to install. Of these hospitals,319 hospitals use the same vendor for all four applications. 735 organizations indicated that they have not installed or signed a contract to install any of four nursing IT applications tracked in this report. The remaining 4,546 hospitals have at least one of the four nursing IT applications installed or signed a contract to install. N = 5,281
7 emar Top 10 Installed and Contracted Systems Vendor # of Installations % of Market MEDITECH % CERNER CORPORATION % MCKESSON % EPIC % CPSI % SIEMENS HEALTHCARE % HEALTHCARE MANAGEMENT SYSTEMS, INC % ECLIPSYS CORPORATION % HEALTHLAND % GE HEALTHCARE % 23 Vendors share the remaining 7.85% of the market. N = 3,789
8 emar Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market MEDITECH % CPSI % HEALTHCARE MANAGEMENT SYSTEMS, INC % CERNER CORPORATION % HEALTHLAND % MCKESSON % EPIC % SIEMENS HEALTHCARE % SELF-DEVELOPLED % GE HEALTHCARE % 18 Vendors share the remaining 6.95% of the market. N = 1,614
9 emar Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MEDITECH % CERNER CORPORATION % MCKESSON % EPIC % SIEMENS HEALTHCARE % PATIENT SAFE SOLUTIONS % ECLIPSYS CORPORATION % CPSI % GE HEALTHCARE % HEALTHCARE MANAGEMENT SYSTEMS, INC % 12 Vendors share the remaining 5.41% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 777
10 emar Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MEDITECH % CERNER CORPORATION % EPIC % MCKESSON % SIEMENS HEALTHCARE % ECLIPSYS CORPORATION % GE HEALTHCARE % PATIENT SAFE SOLUTIONS % QUADRAMED % SELF-DEVELOPED % 9 Vendors share the remaining 1.87% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 535
11 emar Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market MEDITECH % MCKESSON % CERNER CORPORATION % EPIC % SIEMENS HEALTHCARE % GE HEALTHCARE % ECLIPSYS CORPORATION % QUADRAMED % SELF-DEVELOPED % PATIENT SAFE SOLUTIONS % 5 Vendors share the remaining 1.98% of the market. N = 355
12 emar Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* CERNER CORPORATION % MCKESSON % EPIC % SIEMENS HEALTHCARE % MEDITECH % ECLIPSYS CORPORATION % GE HEALTHCARE % PATIENT SAFE SOLUTIONS % QUADRAMED % 4 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE % * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 199
13 emar Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market CERNER CORPORATION % EPIC % MCKESSON % ECLIPSYS CORPORATION % MEDITECH % SIEMENS HEALTHCARE % GE HEALTHCARE % SELF-DEVELOPED % QUADRAMED % MEDIWARE INFORMATION SYSTEMS, INC % N = 309
14 Nurse Staffing/Scheduling Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MCKESSON % KRONOS INCORPORATED % MEDITECH % API HEALTHCARE % CLAIRVIA % SELF-DEVELOPED % CPSI % CONCERRO, INC % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 3, % CERNER CORPORATION % 41 Vendors share the remaining 15.89% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
15 Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* KRONOS INCORPORATED % MCKESSON % MEDITECH % CPSI % HEALTHCARE MANAGEMENT SYSTEMS, INC % HEALTHLAND % API HEALTHCARE % CERNER CORPORATION % ATLAS BUSINESS SOLUTIONS, INC % CLAIRVIA % 30 Vendors share the remaining 14.62% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,163
16 Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MCKESSON % MEDITECH % KRONOS INCORPORATED % API HEALTHCARE % SELF-DEVELOPED % CLAIRVIA % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = % CONCERRO, INC % HEALTHCARE MANAGEMENT SYSTEMS, INC % CERNER CORPORATION % 18 Vendors share the remaining 12.03% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
17 Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MCKESSON % MEDITECH % KRONOS INCORPORATED % API HEALTHCARE % SELF-DEVELOPED % CONCERRO, INC % CLAIRVIA % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = % CERNER CORPORATION % LAWSON % 16 Vendors share the remaining 10.47% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
18 Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MCKESSON % KRONOS INCORPORATED % API HEALTHCARE % MEDITECH % CLAIRVIA % CONCERRO, INC % SELF-DEVELOPED % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = % EPIC % CERNER CORPORATION % 14 Vendors share the remaining 9.07% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
19 Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MCKESSON % KRONOS INCORPORATED % API HEALTHCARE % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = % CONCERRO, INC % EPIC % CLAIRVIA % MEDITECH % SELF-DEVELOPED % LAWSON % 15 Vendors share the remaining 10.84% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
20 Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* MCKESSON % KRONOS INCORPORATED % API HEALTHCARE % CLAIRVIA % CONCERRO, INC % SELF-DEVELOPED % EPIC % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 311 vendor installed % CERNER CORPORATION % LAWSON % MEDITECH % 12 Vendors share the remaining 7.72% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one
21 Nursing Documentation Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MEDITECH % CERNER CORPORATION % MCKESSON % EPIC % CPSI % SIEMENS HEALTHCARE % HEALTHCARE MANAGEMENT SYSTEMS, INC % ECLIPSYS CORPORATION % HEALTHLAND % SELF-DEVELOPED % 27 Vendors share the remaining 7.75% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 4,062
22 Nursing Documentation Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* MEDITECH % CPSI % HEALTHCARE MANAGEMENT SYSTEMS, INC % CERNER CORPORATION % HEALTHLAND % MCKESSON % EPIC % SIEMENS HEALTHCARE % SELF-DEVELOPED % GE HEALTHCARE % 22 Vendors share the remaining 6.04% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,738
23 Nursing Documentation Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market MEDITECH % CERNER CORPORATION % MCKESSON % EPIC % SIEMENS HEALTHCARE % SELF-DEVELOPED % ECLIPSYS CORPORATION % CPSI % GE HEALTHCARE % HEALTHCARE MANAGEMENT SYSTEMS, INC % 9 Vendors share the remaining 4.94% of the market. N = 830
24 Nursing Documentation Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market MEDITECH % CERNER CORPORATION % MCKESSON % EPIC % SIEMENS HEALTHCARE % ECLIPSYS CORPORATION % GE HEALTHCARE % QUADRAMED % SELF-DEVELOPED % NEXTGEN HEALTHCARE % 8 Vendors share the remaining 2.34% of the market. N = 559
25 Nursing Documentation Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market MEDITECH % MCKESSON % CERNER CORPORATION % EPIC % SIEMENS HEALTHCARE % GE HEALTHCARE % ECLIPSYS CORPORATION % QUADRAMED % SELF-DEVELOPED % HEALTHCARE MANAGEMENT SYSTEMS, INC % 7 Vendors share the remaining 2.65% of the market. N = 377
26 Nursing Documentation Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* CERNER CORPORATION % MCKESSON % EPIC % MEDITECH % SIEMENS HEALTHCARE % ECLIPSYS CORPORATION % GE HEALTHCARE % KEANE, INC % NEXTGEN HEALTHCARE % CLINICOMP, INTL % 6 Vendors share the remaining 3.08% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 195
27 Nursing Documentation Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* CERNER CORPORATION % EPIC % MCKESSON % ECLIPSYS CORPORATION % MEDITECH % SIEMENS HEALTHCARE % GE HEALTHCARE % QUADRAMED % SELF-DEVELOPED % PICIS, AN INGENIX COMPANY % 6 Vendors share the remaining 1.89% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 318
28 Patient Acuity (formerly Nurse Acuity) Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MEDITECH % MCKESSON % EPIC % SELF-DEVELOPED % CERNER CORPORATION % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 1, % QUADRAMED % CPSI % CLAIRVIA % ECLIPSYS CORPORATION % 18 Vendors share the remaining 10.94% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
29 Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market MEDITECH % SELF-DEVELOPED % CPSI % MCKESSON % EPIC % CERNER CORPORATION % HEALTHLAND % QUADRAMED % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS % SIEMENS HEALTHCARE % 16 Vendors share the remaining 10.08% of the market. N = 486
30 Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market MEDITECH % MCKESSON % EPIC % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS % SELF-DEVELOPED % CERNER CORPORATION % QUADRAMED % CPSI % SIEMENS HEALTHCARE % CLAIRVIA % 7 Vendors share the remaining 7.36% of the market. N = 340
31 Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market MEDITECH % MCKESSON % EPIC % CERNER CORPORATION % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS % SELF-DEVELOPED % QUADRAMED % ECLIPSYS CORPORATION % SIEMENS HEALTHCARE % CLAIRVIA % 7 Vendors share the remaining 7.91% of the market. N = 253
32 Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MEDITECH % MCKESSON % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS % QUADRAMED % EPIC % SELF-DEVELOPED % CERNER CORPORATION % CLAIRVIA % GRASP SYSTEMS, INC % CONCERRO, INC % 5 Vendors share the remaining 6.54% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 153
33 Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* MCKESSON % EPIC % MEDITECH % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = % CERNER CORPORATION % SELF-DEVELOPED % QUADRAMED % KRONOS INCORPORATED % SIEMENS HEALTHCARE % CLAIRVIA % 5 Vendors share the remaining 7.48% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
34 Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* MCKESSON % EPIC % QUADRAMED % CERNER CORPORATION % SELF-DEVELOPED % MEDITECH % ECLIPSYS CORPORATION % OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = % CLAIRVIA % API HEALTHCARE % 3 Vendors share the remaining 5.30% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
35 emar Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 24 MCKESSON 22 HEALTHLAND 22 HEALTHCARE MANAGEMENT SYSTEMS, INC. 15 EPIC 15 CPSI 15 SIEMENS HEALTHCARE 11 CERNER CORPORATION 6 QUADRAMED 3 KEANE, INC. 3 NEXTGEN HEALTHCARE 3 4 ADDITIONAL VENDORS BEING CONSIDERED 5
36 Nurse Staffing/Scheduling Vendors Being Considered for a Planned Purchase Vendor # of Times Considered HEALTHLAND 10 KRONOS INCORPORATED 7 CERNER CORPORATION 4 MEDITECH 3 MCKESSON 3 EPIC 1 CPSI 1
37 Nursing Documentation Vendors Being Considered for a Planned Purchase Vendor # of Times Considered HEALTHLAND 20 MEDITECH 18 MCKESSON 14 CPSI 13 HEALTHCARE MANAGEMENT SYSTEMS, INC. 12 EPIC 12 SIEMENS HEALTHCARE 9 CERNER CORPORATION 8 QUADRAMED 3 ECLIPSYS CORPORATION 2 TECH-TIME, INC. 1 KEANE, INC. 1
38 Patient Acuity (formerly Nurse Acuity) Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 4 CERNER CORPORATION 4 MCKESSON 3 HEALTHLAND 2 CPSI 2 EPIC 1 CLAIRVIA 1
39 Nursing Applications Temporal Summary of Installation emar (N=2,174) Nurse Staffing/Scheduling (N=1,691) Nursing Documentation 1% 7% 12% (N=2,241) Patient Acuity (formerly Nurse Acuity) (N=752) 3% 9% 39% 17% 25% 35% 43% 53% 44% 45% 42% More than half of the emar contracts were signed between 2005 and At least 80 percent of patient acuity and nursing documentation contracts were signed after 2000, as were nearly threequarters of nurse staffing/scheduling contracts. Prior to to to to to to 2010
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