U.S. MARKET OVERVIEW Hospital Nursing 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.
Nursing Applications Summary of Installation (2009/2010) Nursing Documentation Electronic Medication Administration Record (emar) Nurse Staffing / Scheduling Patient Acuity (formerly Nurse Acuity) 26% 29% 73% 77% 64% 72% 62% 65% The installation rates (which includes planned installation) for the four nursing applications in this suite have all increased in the past year. emar showed the largest increase at eight percent, followed by nursing documentation at four percent. 2009 (n=5,235) 2010 (n=5,281)
Nursing Applications Summary of Plans (in Not Automated Hospitals) Electronic Medication Administration Record (emar) Nursing Documentation Nurse Staffing/ Scheduling 1,453 1,175 1.19% (1,849) 7.32% 8.95% Almost nine percent of hospitals that don t currently use emar software plan to make a future purchase. More than seven percent of hospitals that do not have nurse documentation software are also planning to make a purchase. Patient Acuity (formerly Nurse Acuity) 0.38% (3,720) Number in white and parentheses represents number of not automated hospitals. Percent of "Not Automated" Hospitals Planning to Purchase Software
Nursing Applications Summary of Plans (Replacing Current Software) Nurse Documentation Electronic Medication Administration Record (emar) Nurse Staffing/Scheduling 0.51% 0.39% 0.26% (4,085) (3,810) (3,408) In general, hospitals are unlikely to replace their existing nursing applications. By volume and percent, nurse documentation is the nursing application that is most likely to be replaced. Patient Acuity (formerly Nurse Acuity) 0.26% (1,530) Numbers in parentheses represent number of hospitals with installed or contracted systems Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
Nursing Applications Summary of Plans Electronic Medication Administration Record (emar) (n=145) Nurse Staffing/Scheduling (n=31) Nursing Documentation (n=107) 20% 29% 90% 80% 71% The majority of purchases for nursing applications will be first time purchases. At least 70 percent of purchases for each of the applications in this suite will be first time purchases. Patient Acuity (formerly Nurse Acuity) (n=18) 22% 78% Percent of Hospitals with Installed Software - Replacing Percent of Hospitals Planning to Purchase Software for the First Time
Summary of Installation Approximately one-quarter percent of US hospitals (1,199) have all four nursing applications tracked in this report installed or have signed a contracted to install. Of these hospitals,319 hospitals use the same vendor for all four applications. 735 organizations indicated that they have not installed or signed a contract to install any of four nursing IT applications tracked in this report. The remaining 4,546 hospitals have at least one of the four nursing IT applications installed or signed a contract to install. N = 5,281
emar Top 10 Installed and Contracted Systems Vendor # of Installations % of Market MEDITECH 930 24.54% CERNER CORPORATION 606 15.99% MCKESSON 409 10.79% EPIC 378 9.98% CPSI 265 6.99% SIEMENS HEALTHCARE 260 6.86% HEALTHCARE MANAGEMENT SYSTEMS, INC. 237 6.25% ECLIPSYS CORPORATION 161 4.25% HEALTHLAND 126 3.33% GE HEALTHCARE 120 3.17% 23 Vendors share the remaining 7.85% of the market. N = 3,789
emar Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market MEDITECH 351 21.75% CPSI 236 14.62% HEALTHCARE MANAGEMENT SYSTEMS, INC. 217 13.44% CERNER CORPORATION 189 11.71% HEALTHLAND 124 7.68% MCKESSON 108 6.69% EPIC 102 6.32% SIEMENS HEALTHCARE 72 4.46% SELF-DEVELOPLED 70 4.34% GE HEALTHCARE 33 2.04% 18 Vendors share the remaining 6.95% of the market. N = 1,614
emar Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market* MEDITECH 265 34.11% CERNER CORPORATION 123 15.83% MCKESSON 89 11.45% EPIC 71 9.14% SIEMENS HEALTHCARE 60 7.72% PATIENT SAFE SOLUTIONS 34 4.38% ECLIPSYS CORPORATION 28 3.60% CPSI 26 3.35% GE HEALTHCARE 22 2.83% HEALTHCARE MANAGEMENT SYSTEMS, INC. 17 2.19% 12 Vendors share the remaining 5.41% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 777
emar Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market* MEDITECH 165 30.84% CERNER CORPORATION 109 20.37% EPIC 72 13.46% MCKESSON 66 12.34% SIEMENS HEALTHCARE 44 8.22% ECLIPSYS CORPORATION 34 6.36% GE HEALTHCARE 14 2.62% PATIENT SAFE SOLUTIONS 10 1.87% QUADRAMED 8 1.50% SELF-DEVELOPED 3 0.56% 9 Vendors share the remaining 1.87% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 535
emar Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market MEDITECH 90 25.35% MCKESSON 68 19.15% CERNER CORPORATION 68 19.15% EPIC 41 11.55% SIEMENS HEALTHCARE 30 8.45% GE HEALTHCARE 18 5.07% ECLIPSYS CORPORATION 14 3.94% QUADRAMED 13 3.66% SELF-DEVELOPED 3 0.85% PATIENT SAFE SOLUTIONS 3 0.85% 5 Vendors share the remaining 1.98% of the market. N = 355
emar Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market* CERNER CORPORATION 43 21.61% MCKESSON 38 19.10% EPIC 31 15.58% SIEMENS HEALTHCARE 28 14.07% MEDITECH 26 13.07% ECLIPSYS CORPORATION 17 8.54% GE HEALTHCARE 10 5.03% PATIENT SAFE SOLUTIONS 2 1.01% QUADRAMED 1 0.50% 4 VENDORS SHARE THE SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 4 2.00% * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 199
emar Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market CERNER CORPORATION 74 23.96% EPIC 61 19.74% MCKESSON 40 12.94% ECLIPSYS CORPORATION 37 11.97% MEDITECH 33 10.68% SIEMENS HEALTHCARE 26 8.41% GE HEALTHCARE 23 7.44% SELF-DEVELOPED 7 2.27% QUADRAMED 6 1.94% MEDIWARE INFORMATION SYSTEMS, INC. 2 0.65% N = 309
Nurse Staffing/Scheduling Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MCKESSON 1024 30.30% KRONOS INCORPORATED 516 15.27% MEDITECH 362 10.71% API HEALTHCARE 228 6.75% CLAIRVIA 143 4.23% SELF-DEVELOPED 142 4.20% CPSI 134 3.97% CONCERRO, INC. 119 3.52% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 3,379 101 2.99% CERNER CORPORATION 86 2.55% 41 Vendors share the remaining 15.89% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* KRONOS INCORPORATED 247 21.24% MCKESSON 243 20.89% MEDITECH 140 12.04% CPSI 120 10.32% HEALTHCARE MANAGEMENT SYSTEMS, INC. 56 4.82% HEALTHLAND 49 4.21% API HEALTHCARE 45 3.87% CERNER CORPORATION 34 2.92% ATLAS BUSINESS SOLUTIONS, INC. 33 2.84% CLAIRVIA 27 2.32% 30 Vendors share the remaining 14.62% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,163
Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market* MCKESSON 249 32.21% MEDITECH 116 15.01% KRONOS INCORPORATED 98 12.68% API HEALTHCARE 56 7.24% SELF-DEVELOPED 40 5.17% CLAIRVIA 34 4.40% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 773 30 3.88% CONCERRO, INC. 24 3.10% HEALTHCARE MANAGEMENT SYSTEMS, INC. 18 2.33% CERNER CORPORATION 18 2.33% 18 Vendors share the remaining 12.03% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market* MCKESSON 191 34.48% MEDITECH 59 10.65% KRONOS INCORPORATED 51 9.21% API HEALTHCARE 48 8.66% SELF-DEVELOPED 44 7.94% CONCERRO, INC. 28 5.05% CLAIRVIA 28 5.05% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 554 19 3.43% CERNER CORPORATION 16 2.89% LAWSON 14 2.53% 16 Vendors share the remaining 10.47% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market* MCKESSON 124 33.07% KRONOS INCORPORATED 48 12.80% API HEALTHCARE 38 10.13% MEDITECH 31 8.27% CLAIRVIA 28 7.47% CONCERRO, INC. 22 5.87% SELF-DEVELOPED 20 5.33% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 375 17 4.53% EPIC 9 2.40% CERNER CORPORATION 8 2.13% 14 Vendors share the remaining 9.07% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market* MCKESSON 78 38.42% KRONOS INCORPORATED 28 13.79% API HEALTHCARE 20 9.85% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 203 12 5.91% CONCERRO, INC. 11 5.42% EPIC 9 4.43% CLAIRVIA 8 3.94% MEDITECH 8 3.94% SELF-DEVELOPED 4 1.97% LAWSON 4 1.97% 15 Vendors share the remaining 10.84% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Nurse Staffing/Scheduling Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* MCKESSON 139 44.69% KRONOS INCORPORATED 44 14.15% API HEALTHCARE 21 6.75% CLAIRVIA 18 5.79% CONCERRO, INC. 13 4.18% SELF-DEVELOPED 12 3.86% EPIC 9 2.89% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 311 vendor installed. 9 2.89% CERNER CORPORATION 8 2.57% LAWSON 8 2.57% MEDITECH 8 2.57% 12 Vendors share the remaining 7.72% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one
Nursing Documentation Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MEDITECH 1084 26.69% CERNER CORPORATION 582 14.33% MCKESSON 434 10.68% EPIC 373 9.18% CPSI 311 7.66% SIEMENS HEALTHCARE 276 6.79% HEALTHCARE MANAGEMENT SYSTEMS, INC. 246 6.06% ECLIPSYS CORPORATION 166 4.09% HEALTHLAND 152 3.74% SELF-DEVELOPED 130 3.20% 27 Vendors share the remaining 7.75% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 4,062
Nursing Documentation Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market* MEDITECH 433 24.91% CPSI 276 15.88% HEALTHCARE MANAGEMENT SYSTEMS, INC. 220 12.66% CERNER CORPORATION 180 10.36% HEALTHLAND 150 8.63% MCKESSON 123 7.08% EPIC 103 5.93% SIEMENS HEALTHCARE 82 4.72% SELF-DEVELOPED 80 4.60% GE HEALTHCARE 35 2.01% 22 Vendors share the remaining 6.04% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 1,738
Nursing Documentation Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market MEDITECH 303 36.51% CERNER CORPORATION 121 14.58% MCKESSON 95 11.45% EPIC 69 8.31% SIEMENS HEALTHCARE 63 7.59% SELF-DEVELOPED 35 4.22% ECLIPSYS CORPORATION 30 3.61% CPSI 29 3.49% GE HEALTHCARE 23 2.77% HEALTHCARE MANAGEMENT SYSTEMS, INC. 21 2.53% 9 Vendors share the remaining 4.94% of the market. N = 830
Nursing Documentation Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market MEDITECH 185 33.09% CERNER CORPORATION 104 18.60% MCKESSON 71 12.70% EPIC 66 11.81% SIEMENS HEALTHCARE 46 8.23% ECLIPSYS CORPORATION 35 6.26% GE HEALTHCARE 14 2.50% QUADRAMED 10 1.79% SELF-DEVELOPED 9 1.61% NEXTGEN HEALTHCARE 6 1.07% 8 Vendors share the remaining 2.34% of the market. N = 559
Nursing Documentation Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market MEDITECH 99 26.26% MCKESSON 69 18.30% CERNER CORPORATION 67 17.77% EPIC 42 11.14% SIEMENS HEALTHCARE 30 7.96% GE HEALTHCARE 19 5.04% ECLIPSYS CORPORATION 18 4.77% QUADRAMED 17 4.51% SELF-DEVELOPED 3 0.80% HEALTHCARE MANAGEMENT SYSTEMS, INC. 3 0.80% 7 Vendors share the remaining 2.65% of the market. N = 377
Nursing Documentation Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market* CERNER CORPORATION 39 20.00% MCKESSON 35 17.95% EPIC 31 15.90% MEDITECH 30 15.38% SIEMENS HEALTHCARE 26 13.33% ECLIPSYS CORPORATION 15 7.69% GE HEALTHCARE 7 3.59% KEANE, INC. 3 1.54% NEXTGEN HEALTHCARE 2 1.03% CLINICOMP, INTL. 2 1.03% 6 Vendors share the remaining 3.08% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 195
Nursing Documentation Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* CERNER CORPORATION 71 22.33% EPIC 62 19.50% MCKESSON 41 12.89% ECLIPSYS CORPORATION 38 11.95% MEDITECH 34 10.69% SIEMENS HEALTHCARE 29 9.12% GE HEALTHCARE 25 7.86% QUADRAMED 8 2.52% SELF-DEVELOPED 3 0.94% PICIS, AN INGENIX COMPANY 3 0.94% 6 Vendors share the remaining 1.89% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 318
Patient Acuity (formerly Nurse Acuity) Top 10 Installed and Contracted Systems Vendor # of Installations % of Market* MEDITECH 320 21.48% MCKESSON 228 15.30% EPIC 167 11.21% SELF-DEVELOPED 152 10.20% CERNER CORPORATION 107 7.18% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 1,490 106 7.11% QUADRAMED 99 6.64% CPSI 81 5.44% CLAIRVIA 36 2.42% ECLIPSYS CORPORATION 32 2.15% 18 Vendors share the remaining 10.94% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals Under 100 Beds Vendor # of Installations % of Market MEDITECH 99 20.37% SELF-DEVELOPED 79 16.26% CPSI 70 14.40% MCKESSON 50 10.29% EPIC 40 8.23% CERNER CORPORATION 28 5.76% HEALTHLAND 23 4.73% QUADRAMED 22 4.53% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS 17 3.50% SIEMENS HEALTHCARE 9 1.85% 16 Vendors share the remaining 10.08% of the market. N = 486
Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market MEDITECH 97 28.53% MCKESSON 61 17.94% EPIC 39 11.47% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS 31 9.12% SELF-DEVELOPED 25 7.35% CERNER CORPORATION 20 5.88% QUADRAMED 18 5.29% CPSI 10 2.94% SIEMENS HEALTHCARE 7 2.06% CLAIRVIA 7 2.06% 7 Vendors share the remaining 7.36% of the market. N = 340
Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market MEDITECH 59 23.32% MCKESSON 41 16.21% EPIC 32 12.65% CERNER CORPORATION 24 9.49% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS 23 9.09% SELF-DEVELOPED 17 6.72% QUADRAMED 14 5.53% ECLIPSYS CORPORATION 9 3.56% SIEMENS HEALTHCARE 7 2.77% CLAIRVIA 7 2.77% 7 Vendors share the remaining 7.91% of the market. N = 253
Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market* MEDITECH 37 24.18% MCKESSON 29 18.95% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS 16 10.46% QUADRAMED 14 9.15% EPIC 13 8.50% SELF-DEVELOPED 10 6.54% CERNER CORPORATION 9 5.88% CLAIRVIA 7 4.58% GRASP SYSTEMS, INC. 5 3.27% CONCERRO, INC. 4 2.61% 5 Vendors share the remaining 6.54% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed. N = 153
Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market* MCKESSON 21 19.63% EPIC 17 15.89% MEDITECH 15 14.02% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 107 11 10.28% CERNER CORPORATION 9 8.41% SELF-DEVELOPED 8 7.48% QUADRAMED 8 7.48% KRONOS INCORPORATED 4 3.74% SIEMENS HEALTHCARE 3 2.80% CLAIRVIA 3 2.80% 5 Vendors share the remaining 7.48% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
Patient Acuity (formerly Nurse Acuity) Top 10 Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market* MCKESSON 26 17.22% EPIC 26 17.22% QUADRAMED 23 15.23% CERNER CORPORATION 17 11.26% SELF-DEVELOPED 13 8.61% MEDITECH 13 8.61% ECLIPSYS CORPORATION 9 5.96% OPTILINK HEALTHCARE MANAGEMENT SYSTEMS N = 151 8 5.30% CLAIRVIA 4 2.65% API HEALTHCARE 4 2.65% 3 Vendors share the remaining 5.30% of the market. * The total percentage may exceed 100 percent due to rounding or some organizations may have more than one vendor installed.
emar Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 24 MCKESSON 22 HEALTHLAND 22 HEALTHCARE MANAGEMENT SYSTEMS, INC. 15 EPIC 15 CPSI 15 SIEMENS HEALTHCARE 11 CERNER CORPORATION 6 QUADRAMED 3 KEANE, INC. 3 NEXTGEN HEALTHCARE 3 4 ADDITIONAL VENDORS BEING CONSIDERED 5
Nurse Staffing/Scheduling Vendors Being Considered for a Planned Purchase Vendor # of Times Considered HEALTHLAND 10 KRONOS INCORPORATED 7 CERNER CORPORATION 4 MEDITECH 3 MCKESSON 3 EPIC 1 CPSI 1
Nursing Documentation Vendors Being Considered for a Planned Purchase Vendor # of Times Considered HEALTHLAND 20 MEDITECH 18 MCKESSON 14 CPSI 13 HEALTHCARE MANAGEMENT SYSTEMS, INC. 12 EPIC 12 SIEMENS HEALTHCARE 9 CERNER CORPORATION 8 QUADRAMED 3 ECLIPSYS CORPORATION 2 TECH-TIME, INC. 1 KEANE, INC. 1
Patient Acuity (formerly Nurse Acuity) Vendors Being Considered for a Planned Purchase Vendor # of Times Considered MEDITECH 4 CERNER CORPORATION 4 MCKESSON 3 HEALTHLAND 2 CPSI 2 EPIC 1 CLAIRVIA 1
Nursing Applications Temporal Summary of Installation emar (N=2,174) Nurse Staffing/Scheduling (N=1,691) Nursing Documentation 1% 7% 12% (N=2,241) Patient Acuity (formerly Nurse Acuity) (N=752) 3% 9% 39% 17% 25% 35% 43% 53% 44% 45% 42% More than half of the emar contracts were signed between 2005 and 2010. At least 80 percent of patient acuity and nursing documentation contracts were signed after 2000, as were nearly threequarters of nurse staffing/scheduling contracts. Prior to 1985 1985 to 1989 1990 to 1994 1995 to 1999 2000 to 2004 2005 to 2010
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