U.S. MARKET OVERVIEW

Transcription

1 U.S. MARKET OVERVIEW Hospital Cardiology PACS (CPACS) 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 C-PACS Applications Summary of Installation (2009/2010) Echocardiology Catheter Laboratory Computerized Tomography Intravascular Ultrasound Nuclear Cardiology 17% 21% 16% 2 15% 19% 27% 31% 27% 31% Echocardiology and catheter laboratory have the highest installation rates among the CPACS applications. All CPACS applications show an increase in installation over the past year of about four percent (n=5,235) 2010 (n=5,281)

3 CPACS Installation Summary By Number of Beds CPACS Contracted or Installed No CPACS/Plans to Purchase No CPACS/No Plans CPACS Services Not Provided 8% 1% 35% 3 23% 18% 14% 19% 1 6% 1% 2% 45% 6 92% % Under 100 Beds (N=2,678) 100 to 199 Beds (N=1,009) 200 to 299 Beds (N=626) 300 to 399 Beds (N=411) 400 to 499 Beds (N=220) 500or More Beds (N=337)

4 CPACS Installation Summary By Number of Imaging Procedures CPACS Contracted or Installed 49% 84% 9 86% No CPACS/Plans to Purchase No CPACS/ No Plans 3% 11% 14% 46% CPACS Services Not Provided 5% 5% 6% Under 25,000 (N=736) 25,000 to 49,999 (N=64) 50,000 to 99,999 (N=31) 100,000 or More (N=14)

5 Number of Modalities Installed One Two Three Four 17.61% 18.44% 14.29% 12.69% Among those hospitals that have installed CPACS technology, over 30 percent have installed (or are presently installing) all five CPACS modalities tracked in this report. Conversely, more than 35 percent are implementing between one and three modalities. Five 36.98% N = 1,931

6 Number of Modalities Installed By Number of Beds None 19% 15% 27% 38% 52% 89% One to Three 8% 27% 28% 35% 33% 33% Four to Five 3% 21% 34% 38% 49% 52% Under 100 Beds (N=2, to 199 Beds (N=1,009) 200 to 299 Beds (N=626) 300 to 399 Beds (N=411) 400 to 499 Beds (N=220) 500or More Beds (N=337)

7 Number of Modalities Installed By Number of Imaging Procedures None 3% 11% 14% 46% One to Three 21% 29% 3 32% Four to Five 25% 59% 65% 64% Under 25,000 (N=736) 25,000 to 49,999 (N=64) 50,000 to 99,999 (N=31) 100,000 or More (N=14)

8 CPACS Applications Summary of Plans (in Not Automated Hospitals) Catheter Laboratory Echocardiology Intravascular Ultrasound 1, % 1, % 0.29% (2,395) There is low activity for purchasing CPACS applications for the first time. By percent, catheter lab was most frequently identified as a solution to be purchased for the first time. Computerized Tomography 0.25% (2,376) Nuclear Cardiology 0.24% (2,453) Number in white and in parentheses represents number of not automated hospitals. Percent of "Not Automated" Hospitals Planning to Purchase Software

9 CPACS Applications Summary of Plans (Replacing Current Software) Nuclear Cardiology Echocardiology Catheter Laboratory Computerized Tomography Intravascular Ultrasound 1, % 1, % 0.31% (1,626) 0.18% (1,090) 0.0 (1,063) Very few hospitals indicated plans to replace their current CPACS software. By percent, replacement of nuclear cardiology is mentioned the most, followed closely by echocardiology. Number in white and parentheses represents number of hospitals with installed or contracted systems Percent of "Not Automated" Hospitals Planning to Purchase Software

10 CPACS Applications Summary of Plans Catheter Laboratory (n=20) Computerized Tomography (n=8) Echocardiology (n=16) Intravascular Ultrasound (n=7) 25% 25% 38% 75% 75% 63% 10 The majority of the planned purchases across CPACS applications will be first time purchases. Echocardiology and nuclear cardiology have the largest replacement markets. Nuclear Cardiology (n=10) 4 6 Percent of Hospitals with Installed Software - Replacing Percent of Hospitals Planning to Purchase Software for the First Time

11 Summary of Installations 1,931 of 5,281 hospitals (37 percent) have installed CPACS technology or have signed a contract to install this technology. Catheter laboratory and echocardiology are the most installed modalities at 31 percent each. 1,725 (33 percent) of the hospitals do not provide cardiology services. The average number licensed beds for these hospitals a little over 50. The remaining 1,625 hospitals (31 percent) do not use any of the CPACS technology tracked in this report. N = 5,281

12 Vendor # of Installations % of Market* PHILIPS HEALTHCARE % GE HEALTHCARE % AGFA HEALTHCARE MCKESSON % SIEMENS HEALTHCARE % MERGE HEALTHCARE FUJIFILM MEDICAL SYSTEMS % SCIMAGE, INC % LUMEDX CORPORATION % EMIX/DR SYSTEMS, INC % 31 Vendors share the remaining 6.52% of the market. N = 1,870 Hospital Cardiology PACS Top 10 Installed and Contracted Systems * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed.

13 Hospital Cardiology PACS Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* GE HEALTHCARE % PHILIPS HEALTHCARE % AGFA HEALTHCARE % MERGE HEALTHCARE % SIEMENS HEALTHCARE % FUJIFILM MEDICAL SYSTEMS % MCKESSON % CPSI % SCIMAGE, INC % NOVARAD CORPORATION % 14 Vendor has the remaining 9.33% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed. N = 268

14 Hospital Cardiology PACS Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* GE HEALTHCARE % PHILIPS HEALTHCARE % AGFA HEALTHCARE % MCKESSON % SIEMENS HEALTHCARE % MERGE HEALTHCARE % FUJIFILM MEDICAL SYSTEMS % LUMEDX CORPORATION SCIMAGE, INC EMIX/DR SYSTEMS, INC % 17 Vendors share the remaining 5.78% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed. N = 467

15 Hospital Cardiology PACS Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* GE HEALTHCARE % PHILIPS HEALTHCARE % MCKESSON % AGFA HEALTHCARE % SIEMENS HEALTHCARE % MERGE HEALTHCARE % FUJIFILM MEDICAL SYSTEMS SCIMAGE, INC % LUMEDX CORPORATION % 2 VENDORS SHARE THE SAME NUMBER OF INSTALLATION AND MARKET SHARE 8 Vendors share the remaining 2.59% of the market. N = % * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed.

16 Hospital Cardiology PACS Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* PHILIPS HEALTHCARE % GE HEALTHCARE MCKESSON % AGFA HEALTHCARE % SIEMENS HEALTHCARE % MERGE HEALTHCARE % FUJIFILM MEDICAL SYSTEMS % LUMEDX CORPORATION % SCIMAGE, INC % VOLCANO % 8 Vendors share the remaining 2.59% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed. N = 295

17 Hospital Cardiology PACS Top 10 Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market* PHILIPS HEALTHCARE % GE HEALTHCARE % MCKESSON % SIEMENS HEALTHCARE % AGFA HEALTHCARE % MERGE HEALTHCARE % FUJIFILM MEDICAL SYSTEMS % LUMEDX CORPORATION % SCIMAGE, INC % 2 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 9 Vendors share the remaining 6.36% of the market. N = % * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed.

18 Vendor # of Installations % of Market* PHILIPS HEALTHCARE GE HEALTHCARE % AGFA HEALTHCARE % SIEMENS HEALTHCARE % MCKESSON % MERGE HEALTHCARE FUJIFILM MEDICAL SYSTEMS % LUMEDX CORPORATION % SELF-DEVELOPED % SCIMAGE, INC % N = 281 Hospital Cardiology PACS Top 10 Installed/Contracted Systems Hospitals 500+ Beds 13 Vendors share the remaining 6.05% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor or one CPACS modalities installed.

19 Hospital Cardiology PACS Top Vendors Considered for a Planned Purchase Vendor # of Times Considered GE HEALTHCARE 4 FUJIFILM MEDICAL SYSTEMS 4 PHILIPS HEALTHCARE 3 MCKESSON 3 MERGE HEALTHCARE 2 AGFA HEALTHCARE 2 SIEMENS HEALTHCARE 1 NOVARAD CORPORATION 1 CARESTREAM HEALTH 1

20 CPACS Applications Temporal Summary of Installation Catheter Laboratory (n=550) Computerized Tomography (n=311) Echocardiology (n=529) Intravascular Ultrasound (n=324) 34% 3 32% 29% 64% 67% 67% 69% Almost all of the CPACS applications contracts occurred after 2000, with more than half of the contracts for CPACS technology signed between 2005 and Nuclear Cardiology (n=312) 31% 67% Prior to to to to to to 2010

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