US Hospital Information Systems Overview and Outlook, 20132020

Managing Information in an Era of Reform

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The hospital information systems (HIS) market covers a wide variety of systems and solutions pertaining to the management of a hospital’s clinical, financial, and administrative information-related tasks. For the purpose of this study, the HIS market consists of software applications and related maintenance and implementation services sold in conjunction. Included is an overview of US market dynamics related to HIS and EHR, as well as US hospitals and National Health Expenditure. The study includes a discussion of key market drivers and restraints up to 2020, forecasts for the total market and key market segments from 2013 to 2020, a penetration analysis by segment, and a discussion of competitive market issues including notable M&A deals.

Table of Contents

Executive SummaryKey FindingsKey Findings (continued)Scope and SegmentationKey Questions This Study Will AnswerMarket Engineering MeasurementsCEO’s PerspectiveExecutive Summary—3 Big PredictionsMarket BackgroundMarket Definitions and OverviewMarket Timeline—Evolution of Hospital Information SystemsMarket Segmentation—First LevelMarket Segmentation—Clinical Versus Non ClinicalMarket Segmentation—Software Versus HardwareMarket Segmentation—Second LevelPercent Revenue Breakdown for Clinical, Financial, and Administrative Information SystemsClinical Information Systems SnapshotTop Five Clinical Applications by Percent of Hospital Spend for 2013Clinical Applications With Greatest Near Term Growth OpportunitiesPrimary Clinical IT Focus for Hospital CIOs Financial Information Systems SnapshotTop Five Financial Applications by Percent of Hospital Spend for 2013Financial Applications With Greatest Near Term Growth OpportunitiesPrimary Financial IT Focus for Hospital CIOs Administrative Information Systems SnapshotTop Five Administrative Applications by Percent of Hospital Spend for 2013Administrative Applications With Greatest Near Term Growth OpportunitiesHealthcare Reform-Driven IT and Data Needs Influencing HIS Market SegmentsThe EHR LandscapeGovernment Policies Drive EHR AdoptionWhat is an EHR?THE CMS EHR Incentive ProgramsThe Transition to EHRs Dominates the IT Focus and Efforts of Healthcare Providers in the USDefinitions and Purpose of Meaningful UseProvider Requirements for Participation in the CMS EHR Incentive ProgramsThe Status of EHR Incentive Payments for MURecent Physician EHR Adoption Trends Still Show Some Room For UptakeThe Hospital EHR Market is Mature as Seen By Recent Adoption TrendsHITECH Has Spurred Impressive Progress in EHR AdoptionHospital EHR Vendor Market ShareTop Ten Inpatient EHR Products by Meaningful Use Attestation Although the EHR Market is Mature, Replacement Opportunities Do ExistOverview of US HospitalsAn Introduction to US Hospitals—Snapshot DemographicsBreakout of US Hospitals by Bed SizeGeographic Distribution of US HospitalsDefinitions of Various Types of HospitalsTop Hospital Systems in the USThe Number of US Hospitals Has Remained Relatively Flat in Recent YearsInpatient Admissions are Picking Up After Recent DeclinesHospital Stays are Getting ShorterHospital Revenue Continues to ClimbThe Percentage of Hospital Revenue Derived from Outpatient Care Has Accelerated DramaticallyDrivers of Revenue Growth for HospitalsRecent Trends in Hospital Mergers and AcquisitionsUS Hospitals Facing a Tsunami of ChangeThe Transition from Volume to Value Will Take TimeHospital CIOs Say Changing Payment Models are Chief Business Concern Strategies, Competencies, and IT Tools Needed for Managing Value-Based CareTrends in National Health ExpendituresOverview of National Health ExpendituresAfter a Brief Slowdown, National Health Expenditures are Rising AgainExpenditures For Hospital Care Will Reach $1.27 Trillion by 2019The Percentage of Health Services Covered by Medicaid is Growing Faster Than Any Other Type of PayerPayment to Cost Ratios for Hospitals by Payer Prove Private Payers Pay the MostDrivers, Restraints, and Trends—Total Hospital Information Systems MarketHealthcare Industry Trends Impacting the Hospital Information Systems MarketMarket DriversDrivers ExplainedDrivers Explained (continued)Drivers Explained (continued)Market RestraintsRestraints ExplainedRestraints Explained (continued)Will Hospitals Survive?Forecasts and Trends—Total Hospital Information Systems MarketMarket Engineering MeasurementsForecast Assumptions and DefinitionsRevenue ForecastRevenue Forecast DiscussionTotal Hospital Information Systems Market—Percent Revenue Forecast by SegmentRevenue Forecast by Market SegmentForecasts and Trends—Market SegmentsMarket Engineering Measurements—Clinical Information Systems SegmentRevenue Forecast—Clinical Information Systems SegmentMarket Engineering Measurements—Financial Information Systems SegmentRevenue Forecast—Financial Information Systems SegmentMarket Engineering Measurements—Administrative Information Systems SegmentRevenue Forecast—Administrative Information Systems SegmentHIS Market Segment Revenue Assumptions and DiscussionDemand AnalysisPenetration Analysis—Clinical Hospital Information SystemsPenetration Analysis—Non-Clinical Hospital Information SystemsCompetitive EnvironmentCompetitive Market StructureCompetitive Market Structure (continued)Competitive Market Structure (continued)Competitive Market Structure (continued)Competitive Market Structure (continued)Notable DealsThe Last WordExecutive Summary—3 Big PredictionsLegal DisclaimerAppendixDefinitions—Clinical Information SystemsDefinitions—Clinical Information Systems (continued)Definitions—Clinical Information Systems (continued)Definitions—Clinical Information Systems (continued)Definitions—Financial Information SystemsDefinitions—Financial Information Systems (continued)Definitions—Financial Information Systems (continued)Definitions—Administrative Information SystemsDefinitions—Administrative Information Systems (continued)US Hospital DemographicsUS Hospital Financial StatisticsDecision Support DatabaseDecision Support Database (continued)Decision Support Database (continued)Decision Support Database (continued)Decision Support Database (continued)Decision Support Database (continued)Market Engineering MethodologySourcesSources (continued)Learn More—Next Steps




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