U.S. MARKET OVERVIEW
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1 U.S. MARKET OVERVIEW Hospital Document/ Electronic Forms Management Applications 2009 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 Document/Electronic Forms Management Summary of Installation (2008/2009) Document Management Electronic Forms Management Not tracked Not tracked 41% 59% The method for collecting data for document management and electronic forms management applications changed significantly from 2008, therefore a year to year comparison will not apply. In 2009, more than half of US hospitals have installed or contract to install document management (N=5,166) 2009 (N=5,235)
3 Document/Electronic Forms Management Summary of Plans (in Not Automated Hospitals) Document Management 2, % Plans for first time purchases are minimal for the document and electronic forms management applications. By percent, slightly more than three percent of hospitals plan to purchase document management software for the first time. Electronic Forms Management 1.20% (3,001) Numbers in white and in parenthesis represent number of not automated hospitals. Percent of "Not Automated" Hospitals Planning to Purchase Software
4 Document/Electronic Forms Management Summary of Plans (Replacing Current Software) Document Management 3, % In general, replacement activity will be minimal in this market. Activity may be greater for document management applications. Electronic Forms Management 0.19% (2,144) Numbers in white and in parenthesis represents number of hospitals with installed or contracted systems Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
5 Document/Electronic Forms Management Summary of Plans Document Management (n=80) Electronic Forms Management (n=40) 10% 21% 90% 79% The majority of the hospitals that plan to purchase document and electronic forms management applications will purchase the technology for the first time. Percent of Hospitals with Installed Software Percent of Hospitals Planning to Purchase Software for the First Time
6 Summary of Installation Only 1,897 of the 5,235 US hospitals in this report (37 percent) have installed software for both document management and electronic forms management. Very few of these hospitals use the same technology vendor for both electronic forms and document management. An additional 1,440 hospitals (28 percent) have installed software or contract to install one of the two applications. The remaining 1,847 hospitals (35 percent) do not use software in any of these two applications areas.
7 Document Management Top 10 Installed and Contracted Systems MCKESSON PROVIDER TECHNOLOGIES % MEDITECH % CERNER CORPORATION % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % PERCEPTIVE SOFTWARE, INC % CPSI % CGI TECHNOLOGIES & SOLUTIONS INC % EMC CORP % SELF-DEVELOPED % 94 Vendors share the remaining 32.95% of the market. N = 3,014
8 Document Management Top 10 Installed/Contracted Systems Hospitals Under 100 Beds CPSI % MEDITECH % MCKESSON PROVIDER TECHNOLOGIES % PERCEPTIVE SOFTWARE, INC % CERNER CORPORATION % HEALTHLAND % EMC CORP % HEALTHCARE MANAGEMENT SYSTEMS, INC % SIEMENS HEALTHCARE % HYLAND SOFTWARE, INC % 72 Vendors share the remaining 26.18% of the market. N = 1,230
9 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON PROVIDER TECHNOLOGIES % MEDITECH % CERNER CORPORATION % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % PERCEPTIVE SOFTWARE, INC % CGI TECHNOLOGIES & SOLUTIONS INC % CPSI % EMC CORP % SELF-DEVELOPED % VIGNETTE CORPORATION % 46 Vendors share the remaining 24.85% of the market. N = 648
10 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON PROVIDER TECHNOLOGIES % MEDITECH % CERNER CORPORATION % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % VIGNETTE CORPORATION % CGI TECHNOLOGIES & SOLUTIONS INC % SELF-DEVELOPED % MEDPLUS % 3M HEALTH INFORMATION SYSTEMS % 41 Vendors share the remaining 26.91% of the market. N = 415
11 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON PROVIDER TECHNOLOGIES % CERNER CORPORATION % MEDITECH % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % MEDPLUS % CGI TECHNOLOGIES & SOLUTIONS INC % QUADRAMED % STREAMLINE HEALTH SOLUTIONS, INC % 4 VENDORS TIED WITH THE SAME NUMBER OF INSTALLTION AND MARKET SHARE 42 Vendors share the remaining 24.65% of the market. N = %
12 Document Management Top 10 Installed/Contracted Systems Hospitals Beds MCKESSON PROVIDER TECHNOLOGIES % CERNER CORPORATION % SIEMENS HEALTHCARE % MEDITECH % HYLAND SOFTWARE, INC % PERCEPTIVE SOFTWARE, INC % CGI TECHNOLOGIES & SOLUTIONS INC % MEDPLUS % STREAMLINE HEALTH SOLUTIONS, INC % SELF-DEVELOPED % 23 Vendors share the remaining 22.65% of the market. N = 181
13 Document Management Top 10 Installed/Contracted Systems Hospitals 500+ Beds MCKESSON PROVIDER TECHNOLOGIES % CERNER CORPORATION % HYLAND SOFTWARE, INC % STREAMLINE HEALTH SOLUTIONS, INC % SIEMENS HEALTHCARE % CGI TECHNOLOGIES & SOLUTIONS INC % 3M HEALTH INFORMATION SYSTEMS % MEDITECH % SELF-DEVELOPED % MEDPLUS % 23 Vendors share the remaining 23.41% of the market. N = 252
14 Electronic Forms Top 10 Installed and Contracted Systems FORMFAST, INC % CERNER CORPORATION % SELF-DEVELOPED % BOTTOMLINE TECHNOLOGIES, INC % CPSI % MCKESSON PROVIDER TECHNOLOGIES % STANDARD REGISTER % ACCESS % HEALTHCARE MANAGEMENT SYSTEMS, INC % HEALTHLAND % 40 Vendors share the remaining 24.96% of the market. N = 2.043
15 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Under 100 Beds FORMFAST, INC % CPSI % SELF-DEVELOPED % CERNER CORPORATION % HEALTHCARE MANAGEMENT SYSTEMS, INC % HEALTHLAND % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON PROVIDER TECHNOLOGIES % ACCESS % SIEMENS HEALTHCARE % 34 Vendors share the remaining 16.55% of the market. N = 840
16 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % CERNER CORPORATION % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON PROVIDER TECHNOLOGIES % SELF-DEVELOPED % ACCESS % CGI TECHNOLOGIES & SOLUTIONS INC % IATRIC SYSTEMS, INC % STANDARD REGISTER % HYLAND SOFTWARE, INC % SIEMENS HEALTHCARE % 25 Vendors share the remaining 17.37% of the market. N = 449
17 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % BOTTOMLINE TECHNOLOGIES, INC % CERNER CORPORATION % SELF-DEVELOPED % STANDARD REGISTER % 3M HEALTH INFORMATION SYSTEMS % MCKESSON PROVIDER TECHNOLOGIES % ACCESS % IATRIC SYSTEMS, INC % SIEMENS HEALTHCARE % 22 Vendors share the remaining 20.23% of the market. N = 262
18 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON PROVIDER TECHNOLOGIES % STANDARD REGISTER % ACCESS % SELF-DEVELOPED % CERNER CORPORATION % XEROX CORPORATION % ADOBE SYSTEMS, INC % QUADRAMED % SIEMENS HEALTHCARE % 20 Vendors share the remaining 23.83% of the market. N = 193
19 Electronic Forms Top 10 Installed/Contracted Systems Hospitals Beds FORMFAST, INC % CERNER CORPORATION % BOTTOMLINE TECHNOLOGIES, INC % MCKESSON PROVIDER TECHNOLOGIES % STANDARD REGISTER % SIEMENS HEALTHCARE % SELF-DEVELOPED % ACCESS % 4 VENDORS TIED WITH THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 5 VENDORS TIED WITH THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 8 Vendors share the remaining 5.88% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor installed. N = % %
20 Electronic Forms Top 10 Installed/Contracted Systems Hospitals 500+ Beds FORMFAST, INC % CERNER CORPORATION % SELF-DEVELOPED % BOTTOMLINE TECHNOLOGIES, INC % STANDARD REGISTER % MCKESSON PROVIDER TECHNOLOGIES % 3M HEALTH INFORMATION SYSTEMS % QUADRAMED % 4 VENDORS TIED WITH THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE N = % NEPS % 16 Vendors share the remaining 16.56% of the market.
21 Document Management Vendors Being Considered for a Planned Purchase Vendor # of Times Considered HYLAND SOFTWARE, INC. 12 MEDITECH 12 CERNER CORPORATION 7 CPSI 6 MCKESSON PROVIDER TECHNOLOGIES 4 HEALTHCARE MANAGEMENT SYSTEMS, INC. 3 SIEMENS HEALTHCARE 2 ALPHA SYSTEMS 2 12 ADDITIONAL VENDORS UNDER CONSIDERATION 12
22 Electronic Forms Vendors Being Considered for a Planned Purchase Vendor # of Times Considered CPSI 5 MCKESSON PROVIDER TECHNOLOGIES 3 HEALTHLAND 2 FORMFAST, INC. 2 BOTTOMLINE TECHNOLOGIES, INC. 2 THOROUGHBRED TECHNOLOGIES 1 NEWBOLD CORPORATION 1 ITXTEND, LLC. 1 HEALTHCARE MANAGEMENT SYSTEMS, INC. 1 HALOGEN SOFTWARE 1 AMRITA TECHNOLOGIES 1
23 Document/Electronic Forms Management Temporal Summary of Installation Document Management (n=1068) Electronic Forms Management (n=689) 6% 33% 39% 56% 52% The majority of contracts for all document and electronic forms management solutions have been signed after Prior to to to to to to 2009
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