U.S. MARKET OVERVIEW Hospital Electronic Medical Record (EMR) 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.
EMR Applications Summary of Installation (2009/2010) Order Entry/Results Reporting Clinical Data Repository Clinical Decision Support CPOE Physician Documentation 46% 43% 56% 52% 2009 (N=5,235) 2010 (N=5,281) 82% 90% 88% 86% 91% 86% All applications within the EMR suite show an increase in installation over the past year with physician documentation and CPOE demonstrating the most growth. Order entry/results reporting is approaching market saturation.
EMR Applications Summary of Plans (in Not Automated Hospitals) Clinical Data Repository CPOE Order Entry/Results Reporting Clinical Decision Support System 620 2,292 464 2,737 9.5% 9.4% 9.1% 7.2% There is low to moderate activity for purchasing EMR applications for the first time. By percent, hospitals were most likely to identify an intent to purchase clinical data repository (CDR) or CPOE in the future. By volume, intent to purchase CPOE was mentioned most often. Physician Documentation 2,518 5.5% Number in white represents number of not automated hospitals. Percent of "Not Automated" Hospitals Planning to Purchase Software
EMR Applications Summary of Plans (Replacing Current Software) Order Entry/Results Reporting Clinical Data Repository Clinical Decision Support System Physician Documentation 4,791 4,637 4,520 0.22% 1.02% 0.95% 0.80% (2,736) Very few hospitals indicated plans to replace software in their EMR environment. By percent and volume, replacement of order entry/results reporting is most frequently mentioned followed by CDR and clinical decision support system. CPOE 0.10% (2,966) Number in white and parentheses represents number of hospitals with installed or contracted systems Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
EMR Applications Summary of Plans Clinical Data Repository (n=103) Clinical Decision Support (n=89) CPOE (n=219) Order Entry/Results Reporting (n=91) Physician Documentation (n=145) 43% 40% 54% 57% 60% 99% 46% 96% Virtually all of the CPOE and physician documentation planned purchases will be among hospitals purchasing this software for the first time. While order entry/results reporting is the only market in which planned purchases will outpace replacement purchases, this margin is very narrow. Percent of Hospitals with Installed Software - Replacing Percent of Hospitals Planning to Purchase Software for the First Time
Summary of Installation 2,242 of 5,281 hospitals in 2010 (42 percent) have installed (or signed a contract to install) all five applications in the EMR suite. This is a substantial increase from 2009, when one-third of U.S. hospitals had installed all five applications. Only two hospitals use a single vendor for all EMR applications. Another 994 hospitals (19 percent) have signed a contract for or installed four of the five EMR applications tracked in this report. Only 286 hospitals in 2010 (five percent) had not installed or signed a contract to install any of the EMR applications in this report.
Clinical Data Repository Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MEDITECH 1172 25.43% CERNER CORPORATION 585 12.69% MCKESSON 505 10.96% EPIC 393 8.53% CPSI 367 7.96% SIEMENS HEALTHCARE 361 7.83% HEALTHCARE MANAGEMENT SYSTEMS, INC. 325 7.05% SELF-DEVELOPED 244 5.29% HEALTHLAND 199 4.32% ECLIPSYS CORPORATION 162 3.51% 34 Vendors share the remaining 6.66% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 4,609
Clinical Data Repository Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* MEDITECH 497 23.91% CPSI 329 15.82% HEALTHCARE MANAGEMENT SYSTEMS, INC. 271 13.04% HEALTHLAND 195 9.38% CERNER CORPORATION 181 8.71% MCKESSON 141 6.78% SELF-DEVELOPED 118 5.68% EPIC 108 5.19% SIEMENS HEALTHCARE 103 4.95% ECLIPSYS CORPORATION 33 1.59% 27 Vendors share the remaining 5.05% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 2,079
Clinical Data Repository Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market MEDITECH 328 34.24% MCKESSON 127 13.26% CERNER CORPORATION 122 12.73% SIEMENS HEALTHCARE 85 8.87% EPIC 70 7.31% SELF-DEVELOPED 55 5.74% HEALTHCARE MANAGEMENT SYSTEMS, INC. 43 4.49% CPSI 31 3.24% ECLIPSYS CORPORATION 27 2.82% GE HEALTHCARE 21 2.19% 18 Vendors share the remaining 5.11% of the market. N = 958
Clinical Data Repository Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market* MEDITECH 185 30.23% CERNER CORPORATION 104 16.99% MCKESSON 83 13.56% EPIC 73 11.93% SIEMENS HEALTHCARE 66 10.78% ECLIPSYS CORPORATION 33 5.39% SELF-DEVELOPED 27 4.41% GE HEALTHCARE 12 1.96% QUADRAMED 9 1.47% CPSI 6 0.98% 8 Vendors share the remaining 2.94% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 612
Clinical Data Repository Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market* MEDITECH 98 24.14% MCKESSON 73 17.98% CERNER CORPORATION 68 16.75% EPIC 46 11.33% SIEMENS HEALTHCARE 32 7.88% ECLIPSYS CORPORATION 19 4.68% SELF-DEVELOPED 18 4.43% GE HEALTHCARE 18 4.43% QUADRAMED 17 4.19% KEANE, INC. 5 1.23% 7 Vendors share the remaining 3.45% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 406
Clinical Data Repository Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market MCKESSON 40 18.35% CERNER CORPORATION 39 17.89% SIEMENS HEALTHCARE 38 17.43% EPIC 32 14.68% MEDITECH 29 13.30% ECLIPSYS CORPORATION 16 7.34% SELF-DEVELOPED 10 4.59% GE HEALTHCARE 6 2.75% KEANE, INC. 2 0.92% 6 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 6 2.75% N = 218
Clinical Data Repository Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* CERNER CORPORATION 71 21.13% EPIC 64 19.05% MCKESSON 41 12.20% SIEMENS HEALTHCARE 37 11.01% MEDITECH 35 10.42% ECLIPSYS CORPORATION 34 10.12% GE HEALTHCARE 23 6.85% SELF-DEVELOPED 16 4.76% QUADRAMED 11 3.27% TELUS HEALTH SOLUTIONS 2 0.60% KEANE, INC. 2 0.60% 3 Vendors share the remaining 0.89% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor installed. N = 336
Clinical Decision Support Top 10 Installed or Contracted Systems Vendor # of Installations % of Market* MEDITECH 1067 24.07% ZYNX HEALTH, INC. 909 20.51% CERNER CORPORATION 539 12.16% MCKESSON 519 11.71% EPIC 375 8.46% CPSI 357 8.06% HEALTHCARE MANAGEMENT SYSTEMS, INC. 338 7.63% SIEMENS HEALTHCARE 308 6.95% HEALTHLAND 191 4.31% ECLIPSYS CORPORATION 172 3.88% 41 Vendors share the remaining 10.72% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 4,432
Clinical Decision Support Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* MEDITECH 434 21.99% CPSI 319 16.16% HEALTHCARE MANAGEMENT SYSTEMS, INC. 282 14.29% ZYNX HEALTH, INC. 243 12.31% HEALTHLAND 185 9.37% CERNER CORPORATION 170 8.61% MCKESSON 141 7.14% EPIC 105 5.32% SIEMENS HEALTHCARE 91 4.61% SELF-DEVELOPED 45 2.28% 35 Vendors share the remaining 8.36% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,974
Clinical Decision Support Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market* MEDITECH 310 33.51% ZYNX HEALTH, INC. 200 21.62% MCKESSON 133 14.38% CERNER CORPORATION 117 12.65% SIEMENS HEALTHCARE 75 8.11% EPIC 67 7.24% HEALTHCARE MANAGEMENT SYSTEMS, INC. 48 5.19% SELF-DEVELOPED 37 4.00% CPSI 31 3.35% ECLIPSYS CORPORATION 28 3.03% 18 Vendors share the remaining 8.11% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 925
Clinical Decision Support Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market* MEDITECH 172 28.86% ZYNX HEALTH, INC. 165 27.68% CERNER CORPORATION 95 15.94% MCKESSON 86 14.43% EPIC 69 11.58% SIEMENS HEALTHCARE 51 8.56% ECLIPSYS CORPORATION 37 6.21% SELF-DEVELOPED 18 3.02% WOLTERS KLUWER HEALTH 9 1.51% GE HEALTHCARE 8 1.34% 11 Vendors share the remaining 5.03% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 596
Clinical Decision Support Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market* ZYNX HEALTH, INC. 141 35.79% MEDITECH 91 23.10% MCKESSON 69 17.51% CERNER CORPORATION 58 14.72% EPIC 44 11.17% SIEMENS HEALTHCARE 33 8.38% ECLIPSYS CORPORATION 25 6.35% QUADRAMED 12 3.05% SELF-DEVELOPED 11 2.79% GE HEALTHCARE 11 2.79% 8 Vendors share the remaining 5.58% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 394
Clinical Decision Support Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market* ZYNX HEALTH, INC. 51 24.06% MCKESSON 42 19.81% CERNER CORPORATION 35 16.51% SIEMENS HEALTHCARE 33 15.57% EPIC 29 13.68% MEDITECH 26 12.26% ECLIPSYS CORPORATION 13 6.13% SELF-DEVELOPED 8 3.77% WOLTERS KLUWER HEALTH 5 2.36% GE HEALTHCARE 4 1.89% 11 Vendors share the remaining 6.13% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 212
Clinical Decision Support Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* ZYNX HEALTH, INC. 109 32.93% CERNER CORPORATION 64 19.34% EPIC 61 18.43% MCKESSON 48 14.50% ECLIPSYS CORPORATION 37 11.18% MEDITECH 34 10.27% SIEMENS HEALTHCARE 25 7.55% GE HEALTHCARE 21 6.34% SELF-DEVELOPED 16 4.83% QUADRAMED 5 1.51% WOLTERS KLUWER HEALTH 5 1.51% 6 Vendors share the remaining 2.42% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 331
CPOE Top 10 Installed or Contracted Systems Vendor # of Installations % of Market MEDITECH 647 21.98% CERNER CORPORATION 542 18.42% EPIC 366 12.44% MCKESSON 276 9.38% CPSI 206 7.00% SIEMENS HEALTHCARE 197 6.69% HEALTHCARE MANAGEMENT SYSTEMS, INC. 185 6.29% ECLIPSYS CORPORATION 163 5.54% SELF-DEVELOPED 95 3.23% GE HEALTHCARE 94 3.19% 19 Vendors share the remaining 5.84% of the market. N = 2,943
CPOE Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market MEDITECH 227 18.50% CPSI 183 14.91% HEALTHCARE MANAGEMENT SYSTEMS, INC. 176 14.34% CERNER CORPORATION 163 13.28% EPIC 97 7.91% HEALTHLAND 75 6.11% MCKESSON 75 6.11% SELF-DEVELOPED 69 5.62% SIEMENS HEALTHCARE 56 4.56% ECLIPSYS CORPORATION 30 2.44% 15 Vendors share the remaining 6.19% of the market. N = 1,227
CPOE Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market MEDITECH 182 32.38% CERNER CORPORATION 105 18.68% EPIC 67 11.92% MCKESSON 64 11.39% SIEMENS HEALTHCARE 41 7.30% ECLIPSYS CORPORATION 28 4.98% CPSI 19 3.38% GE HEALTHCARE 18 3.20% SELF-DEVELOPED 17 3.02% HEALTHCARE MANAGEMENT SYSTEMS, INC. 8 1.42% 7 Vendors share the remaining 2.31% of the market. N = 562
CPOE Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market MEDITECH 123 29.08% CERNER CORPORATION 98 23.17% EPIC 65 15.37% MCKESSON 46 10.87% ECLIPSYS CORPORATION 36 8.51% SIEMENS HEALTHCARE 31 7.33% GE HEALTHCARE 9 2.13% QUADRAMED 5 1.18% CPSI 3 0.71% KEANE, INC. 2 0.47% 5 Vendors share the remaining 1.60% of the market. N = 423
CPOE Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market MEDITECH 73 24.83% CERNER CORPORATION 65 22.11% EPIC 43 14.63% MCKESSON 37 12.59% SIEMENS HEALTHCARE 27 9.18% ECLIPSYS CORPORATION 17 5.78% QUADRAMED 13 4.42% GE HEALTHCARE 13 4.42% SELF-DEVELOPED 3 1.02% 3 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 3 1.02% N = 294
CPOE Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market CERNER CORPORATION 40 25.00% EPIC 30 18.75% MCKESSON 23 14.38% SIEMENS HEALTHCARE 21 13.13% MEDITECH 20 12.50% ECLIPSYS CORPORATION 15 9.38% GE HEALTHCARE 6 3.75% 5 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 5 3.13% * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 160
CPOE Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market CERNER CORPORATION 71 25.63% EPIC 64 23.10% ECLIPSYS CORPORATION 37 13.36% MCKESSON 31 11.19% MEDITECH 22 7.94% SIEMENS HEALTHCARE 21 7.58% GE HEALTHCARE 20 7.22% QUADRAMED 6 2.17% SELF-DEVELOPED 5 1.81% N = 277
Order Entry/Results Reporting Top 10 Installed or Contracted Systems Vendor # of Installations % of Market* MEDITECH 1187 24.73% CERNER CORPORATION 607 12.65% MCKESSON 564 11.75% SIEMENS HEALTHCARE 413 8.61% CPSI 397 8.27% EPIC 395 8.23% HEALTHCARE MANAGEMENT SYSTEMS, INC. 355 7.40% HEALTHLAND 241 5.02% SELF-DEVELOPED 181 3.77% ECLIPSYS CORPORATION 178 3.71% 34 Vendors share the remaining 8.02% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 4,799
Order Entry/Results Reporting Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* MEDITECH 494 21.97% CPSI 359 15.96% HEALTHCARE MANAGEMENT SYSTEMS, INC. 294 13.07% HEALTHLAND 237 10.54% CERNER CORPORATION 189 8.40% MCKESSON 164 7.29% SIEMENS HEALTHCARE 132 5.87% SELF-DEVELOPED 110 4.89% EPIC 107 4.76% GE HEALTHCARE 35 1.56% 29 Vendors share the remaining 7.78% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 2,249
Order Entry/Results Reporting Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market* MEDITECH 334 34.47% MCKESSON 132 13.62% CERNER CORPORATION 126 13.00% SIEMENS HEALTHCARE 98 10.11% EPIC 72 7.43% HEALTHCARE MANAGEMENT SYSTEMS, INC. 52 5.37% SELF-DEVELOPED 42 4.33% CPSI 31 3.20% ECLIPSYS CORPORATION 30 3.10% GE HEALTHCARE 24 2.48% 12 Vendors share the remaining 4.75% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 969
Order Entry/Results Reporting Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market* MEDITECH 191 30.96% CERNER CORPORATION 106 17.18% MCKESSON 97 15.72% EPIC 72 11.67% SIEMENS HEALTHCARE 66 10.70% ECLIPSYS CORPORATION 37 6.00% GE HEALTHCARE 15 2.43% QUADRAMED 10 1.62% SELF-DEVELOPED 9 1.46% CPSI 6 0.97% KEANE, INC. 6 0.97% 9 Vendors share the remaining 2.27% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 617
Order Entry/Results Reporting Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market* MEDITECH 102 24.94% MCKESSON 83 20.29% CERNER CORPORATION 68 16.63% EPIC 48 11.74% SIEMENS HEALTHCARE 40 9.78% GE HEALTHCARE 20 4.89% ECLIPSYS CORPORATION 20 4.89% QUADRAMED 16 3.91% SELF-DEVELOPED 10 2.44% KEANE, INC. 5 1.22% 4 Vendors share the remaining 1.71% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 409
Order Entry/Results Reporting Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market* MCKESSON 45 20.64% CERNER CORPORATION 43 19.72% SIEMENS HEALTHCARE 37 16.97% EPIC 31 14.22% MEDITECH 30 13.76% ECLIPSYS CORPORATION 18 8.26% GE HEALTHCARE 9 4.13% SELF-DEVELOPED 3 1.38% KEANE, INC. 3 1.38% QUADRAMED 2 0.92% 4 Vendors share the remaining 1.83% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 218
Order Entry/Results Reporting Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* CERNER CORPORATION 75 22.26% EPIC 65 19.29% MCKESSON 43 12.76% SIEMENS HEALTHCARE 40 11.87% ECLIPSYS CORPORATION 39 11.57% MEDITECH 36 10.68% GE HEALTHCARE 25 7.42% QUADRAMED 12 3.56% SELF-DEVELOPED 7 2.08% STOCKELL HEALTHCARE SYSTEMS, INC. 2 0.59% KEANE, INC. 2 0.59% 1 Vendor share the remaining 0.30% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 337
Physician Documentation Top 10 Installed or Contracted Systems Vendor # of Installations % of Market* MEDITECH 611 22.49% CERNER CORPORATION 489 18.00% EPIC 350 12.88% MCKESSON 210 7.73% HEALTHCARE MANAGEMENT SYSTEMS, INC. 189 6.96% SELF-DEVELOPED 161 5.93% CPSI 155 5.70% SIEMENS HEALTHCARE 147 5.41% ECLIPSYS CORPORATION 134 4.93% HEALTHLAND 86 3.17% 23 Vendors share the remaining 6.92% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 2,717
Physician Documentation Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market MEDITECH 231 20.48% HEALTHCARE MANAGEMENT SYSTEMS, INC. 170 15.07% CERNER CORPORATION 147 13.03% CPSI 143 12.68% SELF-DEVELOPED 93 8.24% EPIC 92 8.16% HEALTHLAND 85 7.54% MCKESSON 58 5.14% SIEMENS HEALTHCARE 30 2.66% ECLIPSYS CORPORATION 29 2.57% 15 Vendors share the remaining 4.43% of the market. N = 1,128
Physician Documentation Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market MEDITECH 166 30.86% CERNER CORPORATION 99 18.40% EPIC 66 12.27% MCKESSON 51 9.48% SELF-DEVELOPED 37 6.88% SIEMENS HEALTHCARE 34 6.32% ECLIPSYS CORPORATION 22 4.09% HEALTHCARE MANAGEMENT SYSTEMS, INC. 15 2.79% GE HEALTHCARE 15 2.79% NEXTGEN HEALTHCARE 10 1.86% 9 Vendors share the remaining 4.28% of the market. N = 538
Physician Documentation Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market MEDITECH 110 27.64% CERNER CORPORATION 89 22.36% EPIC 62 15.58% MCKESSON 35 8.79% SIEMENS HEALTHCARE 33 8.29% ECLIPSYS CORPORATION 29 7.29% SELF-DEVELOPED 10 2.51% GE HEALTHCARE 7 1.76% QUADRAMED 6 1.51% NEXTGEN HEALTHCARE 6 1.51% 9 Vendors share the remaining 2.76% of the market. N = 398
Physician Documentation Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market MEDITECH 59 23.23% CERNER CORPORATION 56 22.05% EPIC 41 16.14% MCKESSON 28 11.02% SIEMENS HEALTHCARE 19 7.48% QUADRAMED 14 5.51% ECLIPSYS CORPORATION 14 5.51% GE HEALTHCARE 9 3.54% SELF-DEVELOPED 4 1.57% NEXTGEN HEALTHCARE 2 0.79% HEALTHCARE MANAGEMENT SYSTEMS, INC. 2 0.79% 6 Vendors share the remaining 2.36% of the market. N = 254
Physician Documentation Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market CERNER CORPORATION 32 22.86% EPIC 30 21.43% MEDITECH 25 17.86% SIEMENS HEALTHCARE 15 10.71% MCKESSON 13 9.29% ECLIPSYS CORPORATION 11 7.86% GE HEALTHCARE 4 2.86% NEXTGEN HEALTHCARE 2 1.43% 8 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 8 5.57% N = 140
Physician Documentation Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* CERNER CORPORATION 66 25.48% EPIC 59 22.78% ECLIPSYS CORPORATION 29 11.20% MCKESSON 25 9.65% MEDITECH 20 7.72% SIEMENS HEALTHCARE 16 6.18% SELF-DEVELOPED 16 6.18% GE HEALTHCARE 16 6.18% QUADRAMED 6 2.32% 3M HEALTH INFORMATION SYSTEMS 5 1.93% 4 Vendors share the remaining 1.54% of the market. * The total percentage may exceed 100 percent due to rounding or some organization may have more than one vendor installed. N = 259
Clinical Data Repository Vendors Being Considered for a Planned Purchase Vendor # of Times Considered EPIC 19 MEDITECH 17 HEALTHLAND 17 CPSI 12 MCKESSON 9 HEALTHCARE MANAGEMENT SYSTEMS, INC. 8 CERNER CORPORATION 8 NEXTGEN HEALTHCARE 4 QUADRAMED 3 ECLIPSYS CORPORATION 3 SIEMENS HEALTHCARE 2 7 ADDITIONAL VENDORS BEING CONSIDERED 7
Clinical Decision Support Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 16 HEALTHLAND 14 MCKESSON 9 HEALTHCARE MANAGEMENT SYSTEMS, INC. 8 CPSI 8 CERNER CORPORATION 8 EPIC 7 SIEMENS HEALTHCARE 3 QUADRAMED 2 NEXTGEN HEALTHCARE 2 ZYNX HEALTH, INC. 2 ECLIPSYS CORPORATION 2 4 ADDITIONAL VENDORS BEING CONSIDERED 4
CPOE Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 49 CPSI 28 MCKESSON 24 HEALTHLAND 21 HEALTHCARE MANAGEMENT SYSTEMS, INC. 19 EPIC 18 SIEMENS HEALTHCARE 14 CERNER CORPORATION 7 ECLIPSYS CORPORATION 4 NEXTGEN HEALTHCARE 3 GE HEALTHCARE 3 7 ADDITIONAL VENDORS BEING CONSIDERED 9
Order Entry/Results Reporting Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 53 CPSI 32 HEALTHLAND 29 MCKESSON 28 EPIC 20 HEALTHCARE MANAGEMENT SYSTEMS, INC. 19 SIEMENS HEALTHCARE 16 CERNER CORPORATION 9 ECLIPSYS CORPORATION 5 NEXTGEN HEALTHCARE 4 GE HEALTHCARE 3 SELF-DEVELOPED 3 7 ADDITIONAL VENDORS BEING CONSIDERED 8
Physician Documentation Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 25 CPSI 23 MCKESSON 19 EPIC 19 HEALTHCARE MANAGEMENT SYSTEMS, INC. 16 HEALTHLAND 13 CERNER CORPORATION 10 SIEMENS HEALTHCARE 8 GE HEALTHCARE 5 NEXTGEN HEALTHCARE 4 4 ADDITIONAL VENDORS BEING CONSIDERED 8
EMR Applications Temporal Summary of Installation Clinical Data Repository (n=2958) Clinical Decision Support (n=2519) CPOE (n=1804) Order Entry/Results Reporting (n=3548) Physician Documentation (n=1632) 24% 24% 33% 21% 30% 34% 31% 31% 34% 37% 59% 36% 56% The majority of all EMR applications were purchased between 2000 to 2010. More than half of CPOE and physician documentation purchases occurred between 2005 and 2010. Prior to 1985 1985 to 1989 1990 to 1994 1995 to 1999 2000 to 2004 2005 to 2010
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