Electronic Medical Records (EMR) Market in Brazil Increasing Needs of Clinical Systems Expands EMR Bringing Brazil to the Forefront in Latin America

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1 Electronic Medical Records (EMR) Market in Brazil Increasing Needs of Clinical Systems Expands EMR Bringing Brazil to the Forefront in Latin America July 2013

2 Contents Section Slide Number Executive Summary 4 Market Overview 10 Total EMR Market - External Challenges: Drivers and Restraints 28 Forecasts and Trends 40 Demand Analysis 55 Market Share and Competitive Analysis 60 Selected Company Profiles 65 The Last Word (Conclusions and Implications) 70 Appendix 73 3

3 Executive Summary Electronic medical records (EMR) are unique electronic documents composed of information, signals, and registered images sourced from facts, events, and situations pertaining to patient health and care. Brazilian EMR penetration, considering every implementation level from basic, with just electronic prescriptions, to complex, with different clincial modules reaches % of total local healthcare institutions. There are few sole EMR vendors in the market. The local healthcare information technology (HC IT) market stage drives providers to offer EMR as a module pack within a hospital information system (HIS) solution. Research shows that an EMR module price represents % to % of the total HIS solution price, due to its higher customization requirements. As many different companies offer basic EMR systems, this study focuses on the 11 companies that have the Conselho Federal de Medicina (CFM), or Federal Council of Medicine, and the Sociedade Brasileira de Informática em Saúde (Sbis), or Brazilian Society of Health Informatics, certification, which is an index for more developed local solutions. However, total market revenue and market share include non-certified solutions. Certified CFM/Sbis solutions represent % of total market revenue. Source: Brazilian Federal Council of Medicine; Frost & Sullivan 5

4 Executive Summary (continued) The Brazilian EMR market amounted to $ million in 2012 and is expected to reach $ million by 2018, growing at a compound annual growth rate (CAGR) of % from 2012 to Note that revenues are attributed only to the above-mentioned segments that have been covered in this study. There are several factors that could restrain growth of the EMR market in Brazil. These include a lack of a specialized workforce enabled to manage electronic rather than paper records, the absence of legislation regarding EMR usage, and the deficiency of interoperability standards among HC solutions from different providers. The purpose of this study is to analyze the Brazilian EMR market with regard to revenue, installed base, market share, and competitive scenario. This Frost & Sullivan study includes a consolidated sum of the EMR healthcare market, segmented by low, middle, and high complexity solutions. Source: Frost & Sullivan 6

5 Executive Summary Market Engineering Measurements Market Overview Total EMR Market: Brazil, 2012 Market Stage Market Revenues Unit Shipments Weighted Average Contract Value Revenue at End of Forecast Period Growth $ M $ M $ M (2010) (2018) Compound Annual Growth Rate Customer Price Sensitivity Degree of Technical Change Market Concentration % % (CAGR) (scale: 1 [Low] to 10 [High]) (2011; scale: 1 [Low] to 10 [High]) (% of market share held by top 3 companies) Decreasing Stable Increasing For a tabular version, click here. Note: All figures are rounded. The base year is Source: Frost & Sullivan 7

6 Executive Summary Market Engineering Measurements (continued) Competitor Overview Number of Competitors (CFM/Sbis certified market competitors in base year) Average Price Values per Unit of Solution High EMR Middle EMR Low EMR $ M $ M $ M Decreasing Stable Increasing Note: All figures are rounded. The base year is Source: Frost & Sullivan 8

7 Executive Summary CEO s Perspective 1 HC IT is one of the fastest growing segments in the Brazilian healthcare market. 2 Brazil lags behind developed markets in terms of EMR implementation Multiple competitive and investment factors are now expanding EMR implementation in country. A mix of local and multinational EMR vendors and system integrators are currently in or exploring market entry. An understanding of local laws and regulations related to EMR is important for vendors and institutions alike. Source: Frost & Sullivan 9

8 Market Overview Key Questions This Study Will Answer Are there any regulations that encourage the adoption of EMR systems in Brazil? Is the government investing in EMR for public healthcare institutions? What is the size of the EMR market in Brazil? Is the market growing, how long will it continue to grow, and at what rate? Which are the key business segments in the market? What is the contribution from each segment? What will be the impact of external trends on each business segment? Who are the key participants in the EMR market, and what kind of market dynamics exist? What are the key challenges faced by participants in this market? What are the key market drivers and restraints? How is the market impacted by emerging trends in the external environment? How will the structure of the market change with time? Is there any scope for innovation in business models? Source: Frost & Sullivan 13

9 Market Overview Introduction There are approximately local IT companies offering some kind of EMR implementation for healthcare insitutions in Brazil. However, our research and considerations follow the Brazilian Federal Council of Medicine defintion of an EMR as: an unique document compounding a set of informations, signals, and registered images, generated from facts, events, and situations regarding patient health and any provided assistance. In 2010, the CFM and Sbis started to provide a standard control program for EMR solutions in order to certify the solutions that best met their requirements. This certification, despite not being compulsory for EMR providers, is best known as a first criteria for the most reliable and competitive local systems. Frost & Sullivan research, therefore, has mainly considered the Sbis/CFM certified companies in this study. As the Brazilian HC IT market is in a developing stage, wherein norms for HC IT interoperability are nonexistent, EMR solutions are mainly sold as a part, or module, of an HIS solution. In Brazil, % of healthcare institutions purchase management solutions bundled from the same vendor (i.e., ERP, HIS, and EMR in the same solution). Private insurance plans market relevance drives solutions to be mainly focused on ERP, due to its preference for cost-control solutions in the private insurance market. Source: Brazilian Federal Council of Medicine; Frost & Sullivan 14

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