Analysis of Healthcare IT Spending in Australia

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1 Analysis of Healthcare IT Spending in Australia An Already Sophisticated Market is Driving Innovation by Vendors 9AB9-48 March 2015

2 Contents Section Slide Number Executive Summary 3 Healthcare Industry Overview 7 Healthcare IT Market Overview 13 Competitive Playbook 17 Total Healthcare IT Market --- Drivers and Restraints 23 Forecast and Trends 31 Demand Analysis 39 Emerging Companies to Watch 42 The Last Word 48 The Frost & Sullivan Story 53 9AB9-48 2

3 Key Findings The Australian healthcare information technology (IT) market is expected to grow at a compound annual growth rate (CAGR) of % between 2013 and 2020, reaching an estimated market value of $ billion by Australian governments as well as healthcare providers are enthusiastic about investing in technology, but want to ensure that technology investments lead to improvements in care quality and efficiency, rather than becoming a burden for clinicians. The majority of healthcare IT spending is concentrated on mid- to large-sized hospitals, primarily in the public sector, involving replacing legacy solutions with more advanced systems. New South Wales, Victoria, and Queensland have traditionally been the highest spenders on health technology, and this trend is expected to continue over the next five years. Hot Areas of Investment 1 Data analytics 2 Clinical intelligence 3 Care coordination solutions 4 Health information exchanges 5 Population health management Source: Frost & Sullivan 9AB9-48 4

4 Market Engineering Measurements Total Healthcare IT Market: Market Engineering Measurements, Australia, 2013 Market Overview Market Stage Market Revenue Base Year Market Growth Rate Market Size for Last Year of Study Period Growth $ M $ M (2013) (2020) Compound Annual Growth Rate Customer Price Sensitivity Degree of Technical Change Number of Competitors > (CAGR, ) (scale:1 [low] to 10 [high]) (scale:1 [low] to 10 [high]) (active market competitors in base year) Decreasing Stable Increasing For a tabular version, click here. Note: All figures are rounded. The base year is Source: Frost & Sullivan 9AB9-48 5

5 Scope and Segmentation Geographic coverage Australia Study period Base year 2013 Forecast period Monetary unit US Dollars Healthcare information technology covers a plethora of systems and solutions that have a common end goal to improve the quality of healthcare while reducing cost. For the purpose of this report, the healthcare IT market consists of software, solutions, and maintenance services but does not include hardware. Examples of healthcare IT solutions in scope are hospital information systems (HIS), including revenue management, financial management, human resource management, customer relationship management, knowledge management, and supply chain management systems; clinical applications, including laboratory information systems (LIS), radiology information systems (RIS), picture archiving, and communication systems (PACS); and electronic medical records (EMR), electronic health records (EHR), computerized physician order entry (CPOE), clinical decision support (CDSS), and patient portals. Healthcare providers include primary care centres, general practitioners (GPs), secondary care centers, mental institutions, and tertiary hospitals. Market scope does not include software and solutions used by pharmacies and insurance organizations. Source: Frost & Sullivan 9AB9-48 6

6 Demographic Profile Key Takeaway: Shifts in the demographic profile have had a profound impact on the healthcare system in Australia. Total Population, Australia, Percent of Population by Age Group, Australia, 2013 and 2018 Population (Million) Year Demographic Challenges in Australia Growth Rate (%) Population (%) Year Percent Population Percent Population Percent Population Between 1994 and 2014, the proportion of people above 65 years of age in Australia increased from to. However, the working age population percentage (those between 15 and 64) remained fairly constant during the same period. The aging population in Australia presents an economic burden because it will negatively impact labor productivity and labor participation in the next three decades. It will further add costs in the form of increased healthcare spending, aged care and pensions. Incidence of chronic diseases like coronary heart disease (CHD), diabetes, obesity, and chronic obstructive pulmonary disease (COPD) are on the rise with diseases like obesity costing $ billion annually in 2008 to Note: 1 AUD = 0.69 USD as of 1st January 2009 Source: Australian Institute of Health and Welfare (AIHW); Australia Bureau of Statistics (ABS); Frost & Sullivan 9AB9-48 8

7 Healthcare Expenditure Key Takeaway: Cost of healthcare in Australia is not just an economic concern; it has become a political issue involving introduction of radical policy measures. Healthcare Industry: Healthcare Expenditure, Australia, Expenditure ($ Billion) Year Public Healthcare Expenditure Private Healthcare Expenditure Healthcare Expenditure as a Percentage of GDP Healthcare Expenditure as a Percent of GDP (%) State of Healthcare Expenditure in Australia There has been a decline in public healthcare spending in 2012 to 2013, as reported by the Australian Institute of Health and Welfare. Federal government spending experienced a real decrease of over the previous year in the same period. On the other hand, out-of-pocket spending has increased in the same period, raising many political debates around healthcare funding in the country. Note: 1 AUD = 1.04 USD as of 1st January 2013 Source: Australian Institute of Health and Welfare (AIHW); Frost & Sullivan 9AB9-48 9

8 Healthcare Expenditure (continued) Key Takeaway: Healthcare expenditure is funded by the commonwealth and state governments, private insurers, individuals, and other non-government sources through a complex system. Healthcare Industry: Healthcare Expenditure by Type, Australia, Healthcare Industry: Healthcare Expenditure by Federal versus State and Local Governments, Australia, Recurrent Expenditure Capital Expenditure Federal Government Expenditure State and Local Government Expenditure State of Healthcare Expenditure in Australia Capital expenditure includes spending on purchase of and investment into fixed assets, while recurrent expenditure includes spending on wages, salaries, day-to-day operations, purchase of goods and services and utilization of fixed assets. Recurrent expenditure accounts for of total health expenditure and has been increasing steadily over the past decade. Capital expenditure, which includes investment in technology, has not increased significantly in the past decade. New South Wales increased healthcare spending by in 2013 while Victoria increased spending by in the same year. All other states did not experience a marked difference in healthcare expenditure. Source: Australian Institute of Health and Welfare (AIHW); Frost & Sullivan 9AB

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