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1 Physician Office Financial Systems Market Opportunities, Strategies, and Forecasts 2007 to 2013 Physician Office Financial Systems Picture by Susie Eustis MOUNTAINS OF OPPORTUNITY WinterGreen Research, Inc. Lexington, Massachusetts CHECK OUT THESE KEY TOPICS

2 WORLDWIDE PHYSICIAN OFFICE FINANCIAL SYSTEMS MARKET FORECASTS Practice Analysis Targeted To Large Group Practices Medical & Practice Management Suite Accelerating the Healthcare Evolution Components of Practice Management Software Medical Practice Management Software PHYSICIANS AND SURGEON PRACTICE PROFILES ENTERPRISE PRACTICE MANAGEMENT COMPANIES OPEN SYSTEMS SERVICE ORIENTED ARCHITECTURE (SOA) JAVA J2EE (JAVA PLATFORM) WEB SERVICES PROTOCOLS APPLICATION INTEGRATION FUNCTIONALITY COMPETITIVE ADVANTAGE SOFTWARE ENGINES OPPORTUNITY ABOUNDS WinterGreen Research, Inc. Lexington, Massachusetts

3 Physician Office Financial Systems Market Description, Market Analysis, Product Description, and Company Profiles Information systems provide analysis specifically targeted to large group practices. Software for practice analysis is targeted to large group practices as these are the most in need of automation and achieve the most benefit from that. These environments have 25 clinicians. Practice analysis is an integrated data support system. It provides data reporting tools to effectively manage the financial and business aspects of the practice. Gaining a real-time view into relevant practice information gives physicians, managers and administrators the information they need to make better decisions regarding both patient care and profitability. Dashboards are emerging that provide business process management tools. Physician information systems are used to shape flexible business systems. Integration is the fundamental layer of IT infrastructure, providing connectivity across applications and across platforms. Physician information software license markets are growing as the Internet dominates e-commerce channel adoption. Supply chain automation is a market driving force. Integration of applications by the medical services industry has not been dented. Efficient process consolidation is supported by systems. Software solutions are used to support software developed in-house to enable the rapid construction of Web portals and other Web-based systems. Typical implementations are related to systems running on a mixed group of servers, under different operating systems. Medical practices businesses today face a serious and widening information "Integration Gap" between system integration demands and their ability to meet these demands. Hand coding is less expensive than packaged integrations software in the short term. Packaged applications efficiently accomplish the basic broker and adapter functions needed for integration. Business processes are automated using eai systems. Further EAI functionality is achieved via extract, transform, and load functions. Markets at $3.5 billion in 2006 are anticipated to reach $6.22 billion by Market growth is a function of the benefits of business automation. The efficiencies realized from the automation of manual process are of particular benefit to physicians who tend to be very time constrained.

4 Companies Profiled Market Leader McKesson Market Participants ActiveMD Cerner CostFlex Systems CPSI DOCS, Inc. Eclipsys Epic GE / IDX / Centricity Hyperion Solutions isoft Kodak Health Group Lawson Misys Healthcare Systems Meditech mtuitive PracticeAdmin QuadraMed Quality Systems / NextGen Healthcare SCC Soft Computer Siemens SOAPware

5 Physician Office Financial Systems Strategies and Forecasts REPORT METHODOLOGY THIS IS THE 316 TH REPORT IN A SERIES OF MARKET RESEARCH REPORTS THAT PROVIDE FORECASTS IN COMMUNICATIONS, TELECOMMUNICATIONS, THE INTERNET, COMPUTER, SOFTWARE, TELEPHONE EQUIPMENT, HEALTH EQUIPMENT, AND ENERGY. THE PROJECT LEADERS TAKE DIRECT RESPONSIBILITY FOR WRITING AND PREPARING EACH REPORT. THEY HAVE SIGNIFICANT EXPERIENCE PREPARING INDUSTRY STUDIES. FORECASTS ARE BASED ON PRIMARY RESEARCH AND PROPRIETARY DATA BASES. FORECASTS REFLECT ANALYSIS OF THE MARKET TRENDS IN THE SEGMENT AND RELATED SEGMENTS. UNIT AND DOLLAR SHIPMENTS ARE ANALYZED THROUGH CONSIDERATION OF DOLLAR VOLUME OF EACH MARKET PARTICIPATION IN THE SEGMENT. INSTALLED BASE ANALYSIS AND UNIT ANALYSIS IS BASED ON INTERVIEWS AND AN INFORMATION SEARCH. MARKET SHARE ANALYSIS INCLUDES CONVERSATIONS WITH KEY CUSTOMERS OF PRODUCTS, INDUSTRY SEGMENT LEADERS, MARKETING DIRECTORS, DISTRIBUTORS, LEADING MARKET PARTICIPANTS, OPINION LEADERS, AND COMPANIES SEEKING TO DEVELOP MEASURABLE MARKET SHARE. OVER 200 IN DEPTH INTERVIEWS ARE CONDUCTED FOR EACH REPORT WITH A BROAD RANGE OF KEY PARTICIPANTS AND INDUSTRY LEADERS IN THE MARKET SEGMENT. WE ESTABLISH ACCURATE MARKET FORECASTS BASED ON ECONOMIC AND MARKET CONDITIONS AS A BASE. USE INPUT/OUTPUT RATIOS, FLOW CHARTS, AND OTHER ECONOMIC METHODS TO QUANTIFY DATA. USE IN-HOUSE ANALYSTS WHO MEET STRINGENT QUALITY STANDARDS. INTERVIEWING KEY INDUSTRY PARTICIPANTS, EXPERTS AND END-USERS. OUR RESEARCH INCLUDES ACCESS TO LARGE PROPRIETARY DATABASES. LITERATURE SEARCH INCLUDES ANALYSIS OF TRADE PUBLICATIONS, GOVERNMENT REPORTS, AND CORPORATE LITERATURE. YOU MUST HAVE THIS STUDY

6 Physician Office Financial Systems Strategies and Forecasts 2007 to 2013 Table of Contents WORLDWIDE PHYSICIAN OFFICE FINANCIAL SYSTEMS EXECUTIVE SUMMARY WORLDWIDE PHYSICIAN OFFICE FINANCIAL SYSTEMS EXECUTIVE SUMMARY Practice Analysis Targeted To Large Group Practices Worldwide Healthcare Information Systems: Practice Management Accounting And Billing Systems Market Shares Worldwide Physician Office Financial Systems Market Forecasts ES-1 ES-1 ES-3 ES-5 PHYSICIAN OFFICE INFORMATION MARKET DESCRIPTION AND MARKET DYNAMICS 1. PHYSICIAN OFFICE INFORMATION SYSTEM MARKET DESCRIPTION AND MARKET DYNAMICS Accelerating the Healthcare Evolution Medical & Practice Management Suite Authorization and Referral Data Security Features True to a Vision of Quality Care Components of Practice Management Software Patient Demographics Appointment Scheduling Claims And Statements Reporting Practice Management Software and Commerce Medical Practice Management Software Benefits Of Medical Billing Software Benefits Of Medical Billing Software Scheduling Billing Reporting Security HIPAA Utilizes Standard Electronic Formats 1-23 ENTERPRISE-WIDE PRACTICE MANAGEMENT MARKET SHARES AND MARKET FORECASTS 2. ENTERPRISE-WIDE PRACTICE MANAGEMENT MARKET SHARES AND MARKET FORECASTS Practice Analysis Targeted To Large Group Practices Desktop Medical Practice Management Software Costs Internet Based Practice Management Practice Management Pricing Structures Worldwide Healthcare Information Systems: Practice Management Accounting And Billing Systems Market Shares McKesson Horizon Practice Analysis Siemens Signature HIS Support For Practice Management IDX Eclipsys Meditech Corporate Partner For Physician and Practice Management software LSS Improvements Focus on Quality, Integration Misys Optimum Solutions 2-14

7 2.3 Physicians And Surgeon Practice Profiles Family And General Practitioners Anesthesiologists General Internists General Pediatricians Obstetricians And Gynecologists Psychiatrists Surgeons Physician Working Conditions Number of Physicians Forecasts Number of Physician Offices Forecasts Worldwide Physician Office: Number Of Units Shipped, Market Forecasts Worldwide Enterprise Practice Management Information Systems Market Forecasts 2-41 PHYSICIAN GROUP PRACTICE INFORMATION SYSTEM SOFTWARE DESCRIPTION 3. PHYSICIAN GROUP PRACTICE INFORMATION SYSTEM SOFTWARE DESCRIPTION McKesson Horizon Practice Analysis McKesson Horizon Practice Compliance McKesson Horizon Practice Imaging McKesson Horizon Practice Plus McKesson HorizonWP Physician Portal McKesson HorizonWP Physician Portal McKesson Horizon Physician Portal Foundation McKesson HorizonWP Physician Portal Modules HorizonWP Physician Portal Cerner Physician Practice Cerner Office Based Physician Cerner Physician Practice Replica Document Imaging System Cerner Physician Practice InfoToGo Cerner InfoScan Cerner Barcode Scanning Cerner CodeScan Cerner Physician Large Group / Enterprise Cerner Physician Practice Ingunity Platform Cerner Electronic Patient Statements Cerner Insurance Eligibility Verification Cerner Electronic Remittance Advice Cerner Practice Management Inventory Management Cerner Practice Management Extensive Insurance Tracking Cerner Practice Management Extensive Referral Tracking and Practice Marketing Cerner Practice Management Advanced Appointment Scheduling Eclipsys Sunrise Clinical Manager with Physician Solutions Eclipsys Sunrise Medical Records Review And Signature Eclipsys Sunrise Coding And Reimbursement isoft Synergy (General Practice) Epic Mobile Meds EpicCare Resolute Professional Physician Billing System GECCentricity Physician Office - Electronic Medical Records (EMR) GE Centricity Ultra Laboratory Solutions GE Centricity Physician Office PM GE Centricity Physician Office PM Features GE Centricity Portal Access Framework GE Centricity Portal Comprehensive Security GE Centricity Portal Application Integration GE Centricity Portal Scalability GE Centricity Portal User Personalization and Customization Siemens Signature HIS Support For Practice Management 3-64

8 3.6.1 Siemens Signature Decision Support Solutions Siemens Unity Physicians Clinical Access Siemens Unity Financials Registration And Billing Applications Siemens Clinical Manager Siemens PDAccess Clinical Assistant Misys Mobile Practice Management QuadraMed Physician Solutions NextGen Practice NextMD Secure Internet Portal NextGen EMR Physician Practice Electronic Medical Records System NextGen EPM (Enterprise Practice Management System) Meditech On-Line Ordering and Electronic Signature Meditech & LSS Medical and Practice Management (MPM) Suite Meditech Physician Care Manager MediTech Physician Care Manager Standard Features MediTech Physician Care Manager Patient-Specific Care Records MediTech Physician Care Manager Computerized Physician Order Entry (CPOE) MediTech Physician Care Manager Ordering Ambulatory Prescriptions and other Services MediTech Physician Documentation MediTech Internet Access MediTech Order Entry (non-physician staff) MediTech Optional Access to Office Patients MediTech Medical and Practice Management (MPM) Suite MediTech & LSS Provider Workload Management (PWM) MediTech & LSS Provider Workload Management Physicians Desktop MediTech & LSS Workload Management Clinical Messaging NextGen EPM Suite A-Life Medical Fusion3 Advanced Practice Management System La Jolla Digital Advanced Data Systems Visionary Medical Systems Health Management Consultants, LLC LeonardoMD Practice Admin activemd.com SOAPWare Virtual Medical Network (VMN) Virtual Medical Network (VMN) Internet Based Practice Management ENTERPRISE APPLICATION INTEGRATION (EAI) PROCESS TECHNOLOGY 4. ENTERPRISE APPLICATION INTEGRATION (EAI) PROCESS TECHNOLOGY Enterprise Practice Management Companies Open Systems Open Web Services Technology Open Standards To Define A Common Event Open Systems Service Oriented Architecture (SOA) IBM Service Oriented Architecture (SOA) SOA Business Challenge IT Imperative Service-Oriented Architecture And Relevant Standards Java AI Vendor Commitment To Java Advantages Of Java In Context Of Application Integration J2EE (Java Platform) Java Single Application Development EAI Vendor Commitment To Java 4-39

9 4.5.3 Advantages Of Java In Context Of Application Integration J2EE Standardization Web Services Protocols Web Services Soap Apache Soap Load Balancer With SSL Support Points Of Failure Soap Limitations WSDL WSDL Service Descriptions UDDI Registry UDDI Test Registries UDDI Distributed Web Service Discovery UDDI Consortium WS-Inspection Document Extensibility XSLT OASIS ebxml ebxml And Open Applications Group OAGIS Standards EBXML Standard XML Integration Engines Leverage XML Processing XML Standards XML Role In Application Topology XML Meets The Integration Challenge XML Standard Communication Language Web Services Protocols Soap Apache Soap Load Balancer With SSL Support Points Of Failure Soap Limitations Advantages Of Buying Compared To Building Middleware Mainframe Technologies / Enterprise Servers Legacy Transport Messaging Technologies Process Management Standards Transaction Processing Facility (TPF) Enterprise Integration Analysis EAI Business Benefits Event Management Event Transmission Business Process Automation Advanced E-Business Infrastructure Application Integration Technical Advantages Integration System Architecture IP Management Business Focus Of EAI Software The Business Imperative Customer Needs Cry Out For Solutions AI Applications To The Rescue Application Integration Functionality Role Of Messaging Role Of Routing Role Of Transformation Engines Role Of Point Solutions Role Of Distributed Computing Brokers And Publish/Subscribe Competitive Advantage 4-107

10 Role Of Objects Role Of EAI For Storage Area Networks Role Of EAI in SANs Change Drives EAI Markets Business Process Management Services Business Process Management End-To-End Solutions Intelligent Infrastructures Role Of Switching Business Event Integration Uses And Benefits Of EAI Applications The Event Driven Enterprise The Business Payoff Enterprise Process Executive Automation Of Installation Mission Critical Messaging As A Base For Application Integration IBM WebSphere MQ Streams For Messaging and Data Access Message Queuing Database Message Queuing Data and Message Transformation Componentization Speed, Flexibility, and Scalability Server Infrastructure Software Engines Event Bus Shared Memory State Manager Nodes System Coordinator Recovery Recovery Actions Business Accelerator for Automation of Business Process Management Application Link Enabling Intermediate Document Business Application Program Interfaces (BAPI) Repository ERP and EAI Enterprise Integration Analysis EAI Business Benefits Events Event Transmission Business Process Automation Advanced E-Business Infrastructure Application Integration Technical Advantages IP Management Event Bus Shared Memory State Manager Nodes System Coordinator Recovery Recovery Actions Real-Time Processing 4-69

11 PHYSICIAN GROUP PRACTICE INFORMATION SYSTEM COMPANY PROFILES 5. PHYSICIAN GROUP PRACTICE INFORMATION SYSTEM COMPANY PROFILES Hospital Information System Companies HIMSS Segments: HIMSS Top Companies: ActiveMD Cerner Cerner Automates the Care Process Cerner Structure the Knowledge Cerner Strategy Cerner Millennium 2007 Solution and Service Highlights Cerner Lights On Network Cerner Physician Practice Business, PowerWorks, in Cerner Positioning for Continued Long-Term Growth Cerner Device With Connectivity Architecture For Prescription Accuracy Cerner Revenue Shows Organic Growth Cerner Results Overview Cerner Target Markets Cerner Unified Architecture Cerner Nursing Solutions Cerner Healthcare Devices Cerner Implementation and Support Services Cerner Selected Differentiating Solutions Cerner / Galt Associates Cerner / VitalWorks Cerner Regional Analysis Cerner Segment Reporting CostFlex Systems CostFlex International CPSI CPSI System Product Development CPSI Organizational Structure Computer Programs and Systems Fourth Quarter and Year-End 2006 Revenue DOCS, Inc Eclipsys Eclipsys Revenue for Quarter Ended March 31, Eclipysis Revenues: Eclipsys Business Overview Eclipsys Target Markets Eclipsys Services Oriented Architecture: Solutions Utilize The Same Architecture And Share Health Data Repository (HDR), While Being Customized For The Workflows Of Different Environments Eclipsys Sunrise RIS Advanced Radiology Information System Eclipsys Sunrise Clinical Manager with Physician Solutions Eclipsys Software Offerings: Eclipsys Order Entry Eclipsys Clinical Decision Support Eclipsys Laboratory, Surgery, And Critical Care Modules Eclipsys Patient Scheduling And Resource Management Facilitates Scheduling Patient Appointments Eclipsys Sunrise Decision Support Manager Eclipsys Diagnostic Imaging Solutions Eclipsys Consulting Services Remote Hosting Eclipsys Revenue Quarter Ended March 31, Epic GE / IDX / Centricity 5-50

12 GE Healthcare Collective Knowledge GE Healthcare Revenue Cycle Management GE Healthcare: GE Healthcare Revenue GE Healthcare Primary Business Units Hyperion Solutions: Hyperion System Hyperion / UpStream Software Hyperion Business Performance Management Demand Drivers Hyperion Strategy Key elements Hyperion System 9 Products Hyperion System 9 Applications Hyperion System 9 BI isoft: isoft Supporting Reform In Healthcare Working With Professionals Kodak Health Group Lawson Lawson Healthcare Organization Customer Base Lawson S3 Enterprise Performance Management Suite Lawson S3 Supply Chain Management Suite Lawson S3 Human Capital Management Suite Lawson S3 Enterprise Financial Management Suite Lawson S3 Business Process Management Suite Lawson Vertical Market and Customer Focus Lawson Technology Platform Lawson Application Architecture Lawson Products And Solutions Lawson M3 Product Benefits of Solutions Lawson Software Third Quarter Fiscal 2007 Revenue Lawson Third Quarter Fiscal 2007 Key Metrics and Highlights Lawson Software and Intentia Misys Healthcare Systems: Misys plc Misys Healthcare Systems Solutions Misys Product Pricing Misys Marketing Misys Healthcare Systems Partners With mtuitive To Better Ensure The Accuracy Of Cancer Diagnosis Meditech Meditech / Acquire Patient Care Technologies (PtCT) Patient Care Technologies (PtCT) Maestro Enterprise Software Meditech Revenue Meditech Hospital Software Meditech Computer Hardware Meditech Licensed Software Meditech Corporate Partner For Physician and Practice Management software LSS Improvements Focus on Quality, Integration LSS Data Systems Integration is Key e-prescribing Meditech Authorization and Referral Management mtuitive PracticeAdmin QuadraMed QuadraMed Q Revenue QuadraMed Revenue QuadraMed Major Customers QuadraMed Revenue Quality Systems / NextGen Healthcare 5-113

13 5.21 SCC Soft Computer: Siemens: Siemens In-Vitro Diagnostics Market Siemens Geographic Presence Siemens Principal Competitors Siemens / Bayer Diagnostics Unit SOAPware List of Tables and Figures WORLDWIDE PHYSICIAN OFFICE FINANCIAL SYSTEMS EXECUTIVE SUMMARY Table ES-1 Software Medical Practice Management Market Driving Forces Figure ES-2 Worldwide Healthcare Information Systems: Practice Management Accounting and Billing Systems Market Shares, 2006 Figure ES-3 Worldwide Physician Office Financial Systems: License and Services Fees, Market Forecasts, ES-2 ES-4 ES-6 PHYSICIAN OFFICE INFORMATION MARKET DESCRIPTION AND MARKET DYNAMICS Table Medical Physician Office Software Standard Features Table Integration provides users with capabilities: Table Medical & Practice Management Suite software features Table Physician Office Information System Authorization and Referral Data Table Physician Office Information System Information About Appointments Table Physician Office Information System Referral Processing, Worklists, and Reminders Features/Reporting Capabilities Table User Data Downloads Across Departments And Facilities Table Physician Office Information System Security Features Table Benefits Of Medical Billing Software Table Software Matching To A Specialty And Office Size Table Key Physician Office Scheduling Attributes Table Valuable Reports For Practice Management Systems: Table Practice Management Systems Security

14 ENTERPRISE-WIDE PRACTICE MANAGEMENT MARKET SHARES AND MARKET FORECASTS Table Software Medical Practice Management Market Driving Forces Table Practice Management Pricing Structures Usage-Based Pricing Arrangements And Additional Fees Figure Worldwide Healthcare Information Systems: Practice Management Accounting and Billing Systems Market Shares, 2006 Table Worldwide Healthcare Information Systems: Practice Management Accounting and Billing Systems Market Shares, 2006 Table McKesson Horizon Practice Analysis Benefits Table Siemens Signature Practice Components: Table Number of Physicians In Practices, US and Worldwide, 2006 Table Worldwide Enterprise Physicians in Practices Forecasts, Total Number, Table Worldwide Enterprise Physicians in Practices Forecasts, Number in Practices with 25 or More Physicians, Table Worldwide Enterprise Physicians in Practices Forecasts, Number in Practices with Less Than 25 Physicians, Table Worldwide Enterprise Practice Management System Physicians in Practices Forecasts, Figure Worldwide Enterprise Physician Practices Forecasts, Total Number, Figure Worldwide Enterprise Physician Practice Forecasts, Number with 25 or More Physicians, Figure Worldwide Enterprise Physician Practice Forecasts, Number with Less Than 25 Physicians, Figure Worldwide Enterprise Physician Practice Forecasts, Number Equal To And Greater Than 25 Physicians, Less Than 25 Physicians, And Total Table Worldwide Physician Systems For Offices With 25 of More Physicians -- Shipped Unit Market Forecasts, Table Worldwide Physician Systems For Offices With Less Than 25 Physicians Market Forecasts, Shipped Unit Forecasts, Table Worldwide Physician Systems -- Shipped Unit Market Forecasts, Total Number of Units, Table Worldwide Enterprise Practice Management Market System Shipped Unit Forecasts, Table Worldwide Enterprise Practice Management Information System Penetration Forecasts, Figure Worldwide Physician Office Financial Systems: License Fees, Market Forecasts

15 Figure Worldwide Physician Office Financial Systems: License Fees, Market Forecasts Figure Worldwide Physician Office Financial Systems: License Fees, Market Forecasts Table Worldwide Physician Office Financial Systems: License Fees, Market Forecasts PHYSICIAN GROUP PRACTICE INFORMATION SYSTEM SOFTWARE DESCRIPTION Table McKesson Horizon Practice Analysis Benefits Table McKesson Horizon Practice Compliance Modules Table McKesson Horizon Practice Compliance Module Benefits Table McKesson Horizon Practice Imaging Module Benefits Table McKesson Horizon Physician Portal Benefits Table McKesson Horizon Hospital Portal Benefits Table McKesson Horizon Portal Benefits Table McKesson HorizonWP Physician Portal Benefits Table McKesson HorizonWP Physician Portal Benefits for Hospitals Table McKesson Horizon Physician Portal Foundation Benefits Table McKesson HorizonWP Physician Portal Module Benefits Table McKesson HorizonWP Physician Portal Module Benefits Table HorizonWP Physician Portal Benefits Table HorizonWP Physician Portal Benefits for Hospitals Table Cerner Physician Practice Functions Table Cerner Physician Practice Automation Benefits Table Cerner Physician Practice Replica Document Imaging System Features Table Cerner CodeScan Features Table Cerner RapidClaim Electronic Claim Processing Key Benefits Table Cerner physician enterprise application suite functions Table Cerner Ingenuity Advanced Functionality Table Cerner RapidBill Benefits

16 Table Cerner Insurance Eligibility Verification Benefits Table Cerner Electronic Remittance Advice Functions Table EpicCare MobileMeds Table EpicCare Resolute Professional Physician Billing System Functions Table EpicCare Tapestry components for providers Table EpicCare Tapestry Components For Payors: Table GE Centricity Features Table GE Centricity Physician Office PM Table GE Centricity PM Features Table Siemens Signature Practice Components: Table Siemens Signature Customer Results Table Siemens Signature Benefits Table Siemens Signature Decision Support Solutions Features Table Siemens Unity Financials Registration And Billing Applications Key Features Table Siemens Unity Financials Transactions Within Workflows Functions Table Siemens Unity Support For Organizational Business Goals Table Siemens Unity Ambulatory Solutions Functions Table Misys Vision Application Table QuadraMed Physician Solutions Table NextGen EMR Physician Practice Electronic Medical Records System Benefits Table NextGen EMR Functions Table NextGen EMR Modules Table NextGen EPM Features Table NextGen EPM Functions Table NextGen EPM Features Table Meditech Physician Practice Solution Management

17 Table MediTech's Physician Care Manager Highlights: Table MediTech Provides Physicians Direct Access To Patient-Specific Information Table MediTech Physician Care Manager Physician Care Manager's CPOE Components Table MediTech Suite Components Table MediTech & LSS Provider Workload Management Components & Benefits Table MediTech & LSS Workload Management Physicians Push Technology Table MediTech & LSS Workload Management Clinical Messaging Table MediTech Physician Care Manager (PCM) Product Access to Hospital Inpatients Functions Table NextGen EPM Suite Core Components Table Advanced Data Systems Technical Highlights Table VMN Product Modules Table Virtual Medical Network (VMN) Practice Management Functions ENTERPRISE APPLICATION INTEGRATION (EAI) PROCESS TECHNOLOGY Table Selected Enterprise Practice Management Company Table Service Oriented Architecture (SOA) Functions Table Web Services Protocols Table Soap-Based Web Service Production Environment Testing Table XSLT Transformation Of XML Table Integration Engine XML Processing Functions That Drive Business Process Electronically End-To-End Table Soap-Based Web Service Production Environment Testing Table Type Of Event Information Table Event Management Definition Table Integration Services Table Design Concerns For Integration System Architecture Table Functions Of An IP Addressing Device Table Benefits Of an IP Addressing Device

18 Table Business Focus Of EAI Software Table Strategic Goals Of Enterprise Integration Table Advantages Of EAI Applications Integration Solutions Table Problems Confronting IT Managers Table Application Integration Engines Table EAI Assistance With Optimizing Management Plans Table Mission Critical Messaging As A Base For Integration Software Provides A Base For Application Connectivity Table Mission Critical Messaging Integration Functions Table Aspects Of Data Streaming Management Table Infrastructure Server Service Creation Platforms Table Infrastructure Server Architecture Table Shared Memory Functions Table Business Process Advanced Frameworks And Software Engine Functions Table Type Of Event Information Table Event Management Definition Table Integration Services Table Functions Of An IP Addressing Device Table Benefits Of an IP Addressing Device Table Shared Memory Functions PHYSICIAN GROUP PRACTICE INFORMATION SYSTEM COMPANY PROFILES Table HIMSS Segments Table HIMSS Top Companies: Table Key Elements Of Cerner Business Strategy Table Key Elements Of Cerner Target Marketing Table Key Elements Of Cerner Market Functions

19 Table Cerner Elements of Positioning for Continued Long-Term Growth Table Cerner Electronic Positioning Table Hyperion Business Performance Management Key Market Dynamics Table Hyperion Strategy Key Elements Table Lawson S3 Enterprise Performance Management Applications Table Lawson S3 Supply Chain Management Applications Table Lawson S3 Human Capital Management Applications Include Table Lawson S3 Business Process Management Applications Table Lawson M3 Product Benefits of Solutions Table Misys Product Set Table Meditech Authorization and Referral Management Highlights: Table Siemens Medical Solutions offerings:

20 ABOUT THE COMPANY WINTERGREEN RESEARCH, HAS A UNIQUE RESEARCH STRATEGY THAT RELATES TO IDENTIFYING MARKET TRENDS THROUGH READING AND INTERVIEWING OPINION LEADERS. BY READING THE ELECTRONIC EQUIVALENT OF 40 FEET OF PAPER, WINTERGREEN RESEARCH SENIOR ANALYSTS CAN LEARN A LOT MORE ABOUT MARKETS, A LOT FASTER THAN CAN BE LEARNED THROUGH EXPENSIVE SURVEYS AND FOCUS GROUPS. THINKING ABOUT MARKET TRENDS IS A HIGH PRIORITY AT WINTERGREEN RESEARCH. AS WITH ALL RESEARCH, THE VALUE PROPOSITION FOR COMPETITIVE ANALYSIS COMES FROM INTELLECTUAL INPUT. IT IS A LUXURY REALLY, AVAILABLE TO ONLY A VERY FEW PEOPLE, TO BE ABLE TO GATHER INFORMATION, LOTS OF INFORMATION FROM READING MASSIVE AMOUNTS OF CONTENT, AND THEN TRYING TO MAKE SENSE OF THAT CONTENT. THE ABILITY TO THINK ABOUT MARKET TRENDS IS ENHANCED BY DOING IT OVER AND OVER FOR MANY DIFFERENT MARKETS. THAT IS WHAT WINTERGREEN RESEARCH IS ALL ABOUT: READING AND THINKING IS AN ESSENTIAL ASPECT OF COMPETITIVE ANALYSIS. TALKING TO OPINION LEADERS IS THE THIRD ESSENTIAL ASPECT OF PRODUCING GOOD, RELIABLE DATA. WINTERGREEN RESEARCH, FOUNDED IN 1985, PROVIDES STRATEGIC MARKET ASSESSMENTS IN TELECOMMUNICATIONS, COMMUNICATIONS EQUIPMENT, HEALTH CARE, INTERNET AND ADVANCED COMPUTER TECHNOLOGY. INDUSTRY REPORTS FOCUS ON OPPORTUNITIES THAT EXPAND EXISTING MARKETS OR DEVELOP MAJOR NEW MARKETS. THE REPORTS ASSESS NEW PRODUCT AND SERVICE POSITIONING STRATEGIES, NEW AND EVOLVING TECHNOLOGIES, AND TECHNOLOGICAL IMPACT ON PRODUCTS, SERVICES, AND MARKETS. MARKET SHARES ARE PROVIDED. LEADING MARKET PARTICIPANTS ARE PROFILED, AND THEIR MARKETING STRATEGIES, ACQUISITIONS, AND STRATEGIC ALLIANCES ARE DISCUSSED. THE PRINCIPALS OF WINTERGREEN RESEARCH HAVE BEEN INVOLVED IN ANALYSIS AND FORECASTING OF INTERNATIONAL BUSINESS OPPORTUNITIES IN TELECOMMUNICATIONS AND ADVANCED COMPUTER TECHNOLOGY MARKETS FOR OVER 30 YEARS.

21 ABOUT THE PRINCIPAL AUTHORS ELLEN T. CURTISS, TECHNICAL DIRECTOR, CO-FOUNDER OF WINTERGREEN RESEARCH, CONDUCTS STRATEGIC AND MARKET ASSESSMENTS IN TECHNOLOGY-BASED INDUSTRIES. PREVIOUSLY SHE WAS A MEMBER OF THE STAFF OF ARTHUR D. LITTLE, INC., FOR 23 YEARS, MOST RECENTLY AS VICE PRESIDENT OF ARTHUR D. LITTLE DECISION RESOURCES, SPECIALIZING IN STRATEGIC PLANNING AND MARKET DEVELOPMENT SERVICES. SHE IS A GRADUATE OF BOSTON UNIVERSITY AND THE PROGRAM FOR MANAGEMENT DEVELOPMENT AT HARVARD GRADUATE SCHOOL OF BUSINESS ADMINISTRATION. SHE IS THE AUTHOR OF RECENT STUDIES ON WORLDWIDE TELECOMMUNICATIONS MARKETS, THE TOP TEN INTERNET EQUIPMENT COMPANIES, THE TOP TEN CONTRACT MANUFACTURING COMPANIES, AND THE TOP TEN TELECOMMUNICATIONS MARKET ANALYSIS AND FORECASTS. SUSAN EUSTIS, PRESIDENT, CO-FOUNDER OF WINTERGREEN RESEARCH, HAS DONE RESEARCH IN COMMUNICATIONS AND COMPUTER MARKETS AND APPLICATIONS. SHE HOLDS SEVERAL PATENTS IN MICROCOMPUTING AND PARALLEL PROCESSING. SHE HAS THE ORIGINAL PATENTS IN ELECTRONIC VOTING MACHINES. SHE HAS NEW PATENT APPLICATIONS IN FORMAT VARYING, MULITPROCESSING, AND ELECTRONIC VOTING. SHE IS THE AUTHOR OF RECENT STUDIES OF THE REGIONAL BELL OPERATING COMPANIES' MARKETING STRATEGIES, INTERNET EQUIPMENT, BIOMETRICS, A STUDY OF INTERNET EQUIPMENT, WORLDWIDE TELECOMMUNICATIONS EQUIPMENT, TOP TEN TELECOMMUNICATIONS, DIGITAL LOOP CARRIER, WEB HOSTING, WEB SERVICES, AND APPLICATION INTEGRATION MARKETS. MS. EUSTIS IS A GRADUATE OF BARNARD COLLEGE.

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