EMR 2019

EMR 2019

EMR 2019 represents the twelfth time that Kalorama Information has created a detailed study of the electronic medical records (EMR) industry. The report looks at the market and trends affecting electronic medical record software and related services. Included in the report are statistics influencing the industry, demographics, life expectancy, and company strategies. This 450-page report is a complete global analysis of the EMR / EHR market. A market summary includes a total market analysis, including:

  • EMR Market Analysis 2018-2023 ($ millions)
  • EMR Market Breakout by Geography, Offsite vs. Cloud, Software/Service/Hardware Markets and Physician/Hospital Markets
  • Revenues and Market Share of EMR Providers 2018 (in millions $)
  • Market Size and Growth for Physician/Web-based EMR Market, 2018-2023 ($millions)
Revenues are based on worldwide figures. Included in the revenues are sales of software, services, consulting and replacement. The market analysis is global in nature, though trend analysis focuses on the U.S. as the largest healthcare market and the most incentivized for EMR conversion. The report does feature EMR Market Analysis for 2018-2023 for:
  • United States
  • EMEA
  • United Kingdom
  • Germany
  • France
  • Spain
  • Nordic Countries
  • Middle East
  • Israel
  • Africa
  • Other EMEA
  • APAC EMR
  • Japan
  • China
  • India
  • Australia
  • Singapore
  • Other APAC
  • Rest of World
  • Brazil
  • Canada
  • Mexico
  • Other Rest of World
There are several primary issues and trends affecting the electronic medical records (EMR) industry. Demographics, increasing life expectancy, and technology innovation will continue to fuel growth in the future. New developments will also positively influence growth. Issues and trends explored in this study include:
  • Big Tech in The EMR Market
  • Internet of Health Things
  • Blockchain
  • Healthcare Cybersecurity
  • Global Healthcare Spending Trends
  • Patient Engagement
  • Information Overload
  • Patient Access – Blue Button Technology
  • Healthcare Analytics
  • Virtualization Technology
  • Interoperability
  • Cloud Computing
  • Artificial Intelligence and Healthcare
EMR 2019 includes a competitive analysis of leading EMR system providers. Competitors profiled include:
  • ChartLogic, Inc
  • Compugroup Medical Se
  • Computer Programs And Systems, Inc
  • Computer Sciences Corporation (Csc)
  • CureMD
  • Dedalus Healthcare Group
  • Dr First/Rcop
  • eclinicalworks
  • e-MDs
  • Emis Health
  • Epic Systems Corporation
  • GE Healthcare (Virence Health)
  • Greenway Health, LLC
  • Henry Schein Micromd
  • IBM Healthcare
  • IMS Maxims
  • Intersystems Corporation
  • Kareo
  • Koninklijke Philips N.V. (Philips Group)
  • Kronos Incorporated
  • McKesson Corporation
  • Medent Community Computer Service, Inc.
  • Medhost
  • Medical Information Technology, Inc (Meditech)
  • Meditab Software, Inc
  • Medsphere Systems Corporation
  • Microtest Ltd.
  • Nextech Medical
  • Nextgen Healthcare Information Systems
  • Nuesoft Technologies, Inc
  • Practice Fusion
  • Praxis
  • Quality Systems, Inc (Renamed Nextgen Healthcare)
  • Quest Diagnostics, Inc.
  • Sequelmed
  • Streamlinemd
  • Telus Health
  • Tieto
  • Virence Health Technologies
  • Wolters Kluwer
  • WRS Health


  • Executive Summary
    • Introduction
    • Industry at a Glance
    • Scope and Methodology
    • Use of EMR
      • Percentage and Increase of Physician Usage of EMR
      • Hospital Use of EMR
    • Size and Growth of the Market
      • Table Total Worldwide Market for EMR Technologies Revenues, 2016-2023
    • Key Issues and Trends Affecting the Market
    • Competitive Outlook
    • Conclusion Highlights
  • Introduction and Overview
    • Overview
    • The Medical Record
    • The Electronic Medical Record
    • Industry Terminology
      • Table Terminology Comparison Matrix
    • Industry Structure
      • Physician-based/Ambulatory EMR Services
        • Table Physician Adoption of EMRs 2006-2018, Basic System and Fully Functional System
        • Table Percentage of Physicians Reporting Fully Functional EMR, 2018
      • Age-based and Practice Distribution of Office-based Physician EMR Adoption
        • Table Percentage Distribution of Office-based Physicians Using EMR by Age and Practice Characteristics (US)
        • Table Percentage of Office-based Physicians with Certified EMR by State
      • Hospital-based EMR Services
        • Table State Percentage Distribution of Non-Federal Acute Care Hospitals Using EMR (US) by State
    • Advantages
      • Increased Access and Efficiency
      • Improved Documentation
      • Quality of Care
      • Increased Resources
      • Quality Assurance
      • Eliminates Costs
    • Disadvantages
      • Reliability
      • Accountability
      • Patient Privacy
      • EMR Software
      • Components of an EMR
        • Table Average Total Cost for a Three-Physician Practice for EMR/PMS Installations
        • Table Total Cost Range for EMR/PMS Installations
      • US EMR Adoption Model
        • Table U.S. EMRAM Adoption Stages 2014-2018
        • Table New EMRAM Criteria Update 2018
        • Table Canada EMR Hospital Adoption Model 2017
        • Table US Ambulatory EMR Adoption Model 2018
        • Table Doctors Office Adoption Rates 2013-2018 (%)
  • Emerging Trends
    • Patient Engagement/Patient-Centered Healthcare
      • Table Percent of Individuals Who Were Offered Access to Their Medical Record Online, 2018
    • Meaningful Use
      • Table Attestation Details
      • Modified Stage 2
        • Table Modified Stage of Meaningful Use 2015-2019 and beyond
    • Economic Stimulus Package
      • Table Medicare EHR Incentive Payment Schedule
      • Table Medicaid EHR Incentive Payment Schedule (thousands $)
    • Stimulus Guarantee
    • Information Overload
    • Patient Access – Blue Button Initiative
    • Vendor Switches
    • Blockchain
    • Healthcare Analytics
      • Table Selected Healthcare Analytics Providers
    • Medical Access and CHIP Reauthorization Act (MACRA)
      • Merit Based Incentive Payment System
      • Alternative Payment Models (APM)
      • Vendor Readiness
    • Virtualization Technology
    • Storage Area Networks
    • Interoperability
      • Types of Interoperability
        • Table Three Types of Interoperability
      • Dimensions of Interoperability
      • Benefits
      • CommonWell Alliance
      • Sequoia Project
      • The Interoperability Pledge
      • Information Blocking
    • FHIR
      • Argonaut Project
      • 21st Century Cures Act and Trusted Exchange Framework
    • Cloud Computing
      • Types of Clouds
    • Artificial Intelligence and Healthcare
    • Big Tech Invasion
      • Amazon
      • Apple
      • Goggle
      • Facebook
      • Microsoft
    • Interoperable Devices
    • BYOD Accelerates
    • Dashboard Models
    • Big Data
    • Internet of Health Things
    • ONC Interoperability Guidelines Draft Framework
    • Mergers and Acquisitions
      • Table Select Mergers and Acquisitions
      • Consolidation Pros and Cons
    • UnitedHealth Debuts EHR
    • Professional Sports Organizations Using EMRs
    • Stark Law
    • Discreet Recordable Transcription
    • Regional Extension Centers
      • Table 2017 List of Regional Extension Centers
    • Patient Matching
    • Personnel Issues
    • Healthcare Cybersecurity
    • Security Breaches/Portable Devices
      • Table 2018 Data Breaches
    • Ransomware
    • Fraud and Security Surveillance Increases
    • Medical Device Connectivity Market in EMR
      • Table Ways to Improve Connectivity of Medical Devices
      • Drivers
      • Restraints
      • Market Revenues and Competitors
        • Table Market Size and Growth for Medical Device Connectivity Market, 2018-2023 ($millions)
    • Mobile Health and Apps
      • EpicCare Mobile Apps: Haiku and Canto and Limerick
      • Allscripts Mobile App: TouchWorks Mobile
      • Cerner Mobile App: PowerChart Touch
    • Network for Doctors
    • Physician Position and Usability
      • Burnout
    • Accountable Care Organizations
      • Table Top Accountable Care Organizations 2018
    • The Personal Health Record System
      • Differences in Access to PHR
    • Smart Cards Technology
    • Wireless Technologies
    • Open Source EMR Applications
      • Benefits of Open Source EMR Applications
        • Table Select Free and/or Open Source EMR Products
      • Open Source EHR Alliance
    • Adoption Issues
      • Table Physician Office National Level Adoption by Vendor 2018
      • Table Regional Physician Adoption by Vendor
    • Usability and Adoption
    • Quality of Care/Malpractice
    • Cost-Benefit Analysis
      • ROI for a Typical Physician Practice
      • EHR Incentive Program
        • Table EHR Incentive Select Program Payments 2014-2018 ($)
      • Implementation Costs and ROI for Hospitals
      • Summary
    • Privacy Issues
    • EMR Patient Safety Issues
    • Technology Limitations
    • Social and Organizational Barriers
    • E-Prescribing
    • CCHIT
      • Certifications 2010
        • Table EMR/EHR Certifications 2010
      • Certifications in 2011
        • Table EMR/EHR Certifications 2011
      • Certifications in 2012
        • Table System Certifications in 2012
      • Certifications in 2013
        • Table Select Ambulatory EMR Certified Products 2013
      • Certifications in 2014
        • Table Select EMR Certified Products 2014
        • Table Select Ambulatory EMR Certified Products 2014
      • Certifications in 2015
        • Table Select Ambulatory EMR Certified Products 2015
      • Certifications in 2016
        • Table Select EHR Certifications 2016
      • Certifications in 2017
        • Table Select EHR Certifications 2017
      • Certifications in 2018
        • Table Select EHR Certifications 2018
    • NHIN (eHealth Exchange)
    • Global Healthcare Spending Trends
      • Europe
        • Table EU Healthcare Expenditures as Percent of GDP by Select Countries, 2018
      • Asia Pacific
      • The US Market
  • Market Participants
    • Table EMR Mergers and Acquisitions
    • 4Medica
      • Table 4Medica Corporate Summary
      • Company Overview
    • AdvancedMD
      • Table AdvancedMD Corporate Summary
      • Company Overview
    • Alert Life Sciences Computing S.A.
      • Table Alert Life Sciences Computing S.A. Corporate Summary
      • Company Overview
    • AllMeds
      • Table AllMeds Corporate Summary
      • Company Overview
    • Allscripts Healthcare Solutions
      • Table Allscripts Healthcare Solutions Corporate Summary
      • Company Overview
      • Company Financials
        • Table Allscripts (2015-2018) ($ millions)
    • Amazing Charts
      • Table Amazing Charts Corporate Summary
      • Company Overview
    • Aprima Medical Software, Inc
      • Table Aprima Medical Software, Inc. Corporate Summary
      • Company Overview
    • athenahealth, Inc
      • Table athenahealth, Inc. Corporate Summary
      • Company Overview
      • Company Financials
        • Table athenahealth Revenue (2015-2018) ($ millions)
    • Bernoulli Enterprise, Inc
      • Table Bernoulli Enterprise Inc Corporate Summary
      • Company Overview
    • Bizmatics, Inc.
      • Table Bizmatics, Inc Corporate Summary
      • Company Overview
    • Cambio Healthcare Systems
      • Table Cambio Healthcare Systems Corporate Summary
      • Company Overview
    • CareCloud
      • Table CareCloud Corporate Summary
      • Company Overview
    • Cerner Corporation
      • Table Cerner Corporation Corporate Summary
      • Company Overview
      • Company Financials
        • Table Cerner Revenue (2015-2018) ($ millions)
    • Change Healthcare
      • Table Change Healthcare Corporate Summary
      • Company Overview
    • ChartLogic, Inc
      • Table ChartLogic, Inc. Corporate Summary
      • Company Overview
    • CompuGroup Medical SE
      • Table CompuGroup Medical SE Corporate Summary
      • Company Overview
      • Company Financials
        • Table CompuGroup Revenue (2015-2018) ($ millions)
    • Computer Programs and Systems, Inc
      • Table Computer Programs and Systems, Inc. Corporate Summary
      • Company Overview
      • Company Financials
        • Table CPSI Revenue (2015-2018) ($ millions)
    • Computer Sciences Corporation (CSC)
      • Table CSC Corporate Summary
      • Company Overview
      • Company Financials
        • Table CSC Revenue (2015-2018) ($ millions)
    • CureMD
      • Table CureMD Corporate Summary
      • Company Overview
    • Dedalus Healthcare Group
      • Table Dedalus Healthcare Group Corporate Summary
      • Company Overview
    • Dr First/Rcop
      • Table Dr First/ Rcop Corporate Summary
      • Company Overview
    • eClinicalWorks
      • Table eClinicalWorks Corporate Summary
      • Company Overview
      • Company Financials
        • Table eClinicalWorks Estimated Revenue (2015-2018) ($ millions)
    • e-MDs
      • Table e-MDs Corporate Summary
      • Company Overview
    • EMIS Health
      • Table EMIS Corporate Summary
      • Company Overview
      • Performance Review
        • Table EMIS Estimated Revenue (2015-2018) ($ millions)
    • Epic Systems Corporation
      • Table Epic Systems Corporation Corporate Summary
      • Company Overview
      • Company Financials
        • Table EPIC Systems Corporation Estimated Revenue (2015-2018) ($ millions)
    • GE Healthcare (Virence Health)
      • Table GE Healthcare Corporate Summary
      • Company Overview
      • Company Financials
        • Table GE Healthcare Revenue (2015-2018) ($ millions)
    • Greenway Health, LLC
      • Table Greenway Health Corporate Summary
      • Company Overview
    • Henry Schein MicroMD
      • Table Henry Schein MicroMD Corporate Summary
      • Company Overview
    • IBM Healthcare
      • Table IBM Healthcare Corporate Summary
      • Company Overview
    • IMS MAXIMS
      • Table IMS MAXIMS Corporate Summary
      • Company Overview
    • InterSystems Corporation
      • Table InterSystems Corporate Summary
      • Company Overview
    • Kareo
      • Table Kareo Corporate Summary
      • Company Overview
    • Koninklijke Philips N.V. (Philips Group)
      • Table Koninklijke Philips Corporate Summary
      • Company Overview
      • Company Financials
        • Table Philips Group Revenue (2015-2018) ($ millions)
    • Kronos Incorporated
      • Table Kronos Corporate Summary
      • Company Overview
    • McKesson Corporation
      • Table McKesson Corporate Summary
      • Company Overview
      • Company Financials
        • Table McKesson Revenue (2015-2018) ($ millions)
    • Medent Community Computer Service, Inc.
      • Table Medent Community Computer Service Corporate Summary
      • Company Overview
    • MEDHOST
      • Table MEDHOST Corporate Summary
      • Company Overview
    • Medical Information Technology, Inc (MEDITECH)
      • Table MEDITECH Corporate Summary
      • Company Overview
      • Company Financials
        • Table MEDITECH Revenue (2015-2018) ($ millions)
    • Meditab Software, Inc
      • Table Meditab Software Corporate Summary
      • Company Overview
    • Medsphere Systems Corporation
      • Table Medsphere Systems Corporate Summary
      • Company Overview
    • Microtest Ltd.
      • Table Microtest Corporate Summary
      • Company Overview
    • Nextech Medical
      • Table Nextech Medical Corporate Summary
      • Company Overview
    • NextGen Healthcare Information Systems
      • Table NextGen Healthcare Corporate Summary
      • Company Overview
      • Company Financials
        • Table NextGen Healthcare/ Quality Systems Inc (2015-2018) ($ millions)
    • Nuesoft Technologies, Inc
      • Table Nuesoft Corporate Summary
      • Company Overview
    • Practice Fusion
      • Table Practice Fusion Corporate Summary
      • Company Overview
    • Praxis
      • Table Praxis Corporate Summary
      • Company Overview
    • Qualcomm Life, Inc
      • Table Qualcomm Life Corporate Summary
      • Company Overview
    • Quality Systems, Inc (renamed NextGen Healthcare)
      • Table Quality Systems Corporate Summary
      • Company Overview
      • Company Financials
        • Table Quality Systems Inc (2015-2018) ($ millions)
    • Quest Diagnostics, Inc.
      • Table Quest Diagnostics Corporate Summary
      • Company Overview
      • Company Financials
        • Table Quest Diagnostics (2015-2018) ($ millions)
    • SAP SE
      • Table SAP SE Corporate Summary
      • Company Overview
      • Company Financials
        • Table SAP SE (2015-2018) ($ millions)
    • SequelMed
      • Table SequelMed Corporate Summary
      • Company Overview
    • StreamlineMD
      • Table StreamlineMD Corporate Summary
      • Company Overview
    • TELUS Health
      • Table TELUS Health Corporate Summary
      • Company Overview
    • Tieto
      • Table Tieto Corporate Summary
      • Company Overview
      • Company Financials
        • Table Tieto (2015-2018) ($ millions)
    • Virence Health Technologies
      • Table Virence Health Corporate Summary
      • Company Overview
    • WebPT
      • Table WebPT Corporate Summary
      • Company Overview
    • Wolters Kluwer
      • Table Wolters Kluwer Corporate Summary
      • Company Overview
      • Company Financials
        • Table Wolters Kluwer (2015-2018) ($ millions)
    • WRS Health
      • Table WRS Health Corporate Summary
      • Company Overview
  • Market Analysis
    • Market Overview
      • Table EMR Market Analysis 2016-2023 ($ millions)
    • Market by Region
      • United States
        • Table Market Size and Growth for US EMR Market, 2018-2023 ($millions)
      • EMEA
        • Table Market Size and Growth for EMEA EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for UK EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Germany EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for France EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Spain EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Nordic Countries EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Middle East EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Israel EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Africa EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for South Africa EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Other EMEA Countries EMR Market, 2018-2023 ($millions)
      • APAC
        • Table Market Size and Growth for APAC EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Japan EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for China EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for India EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Australia EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Other APAC Countries EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Singapore EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Malaysia EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Taiwan EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Other APAC Countries EMR Market, 2018-2023 ($millions)
      • Rest of World
        • Table Market Size and Growth for Rest of World EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Brazil EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Canada EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Mexico EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Chile EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Costa Rica EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Uruguay EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Guatemala EMR Market, 2018-2023 ($millions)
        • Table Market Size and Growth for Other Countries in ROW EMR Market, 2018-2023 ($millions)
    • Market by Segment
      • Hospital
        • Table EMR Global Hospital Market Analysis 2016-2023 ($ millions)
        • Table Hospital EMR Revenues by Region 2018-2023 (in $ millions)
        • Table EMR Large Hospitals vs Small Hospitals by Percent, 2018
      • U.S. Large vs Small Hospital
        • Table US Market Size and Growth for Large Hospital EMR Market, 2018-2023 ($millions)
        • Table US Market Size and Growth for Small Hospital EMR Market, 2018-2023 ($millions)
      • Physician
        • Table Market Size and Growth for Physician EMR Market, 2018-2023 ($millions)
        • Table Physician EMR market by Delivery Mode, 2018 (Onsite Server-based EMR, Cloud-based EMR)
        • Table Hospital vs Physician Breakdown, 2018 (Hospital Market, Physician Market)
        • Table Hospital vs Physician/Web Breakdown, 2023 (Hospital Market, Physician Market)
    • Market Segment by Type
      • Table EMR Breakdown by Type, 2018 (Software, Hardware Services)
    • Competitive Analysis
      • Hospitals and Health System Technology Providers
      • Small Hospitals 1-200 beds
      • Practice Management System (PMS) Acquirers
      • Pharmacy Services Providers
      • Other Entities
      • Large Practices (20+ Practitioners)
      • Small Practitioners (1-20 Practitioners)
      • Web-based Users
      • Cloud-based EMR Software
      • Meaningful Use Attestations
      • Selected Top Vendors by International Region
      • Market Leaders
        • Table Revenues and Market Share of EMR Providers 2018 (in millions $)
        • Table EMR Top Sixteen Providers Market Share %, 2018
      • Hospital
      • Physician Office
  • Conclusions
    • Overview
    • One: Physician Practices Still Growth Area of EMRs
    • Two: Meaningful Use Confusion Still Plagues Industry
    • Three: No Clear Leader, Opportunity for New Players
    • Four: Mergers and Acquisitions
    • Five: Interoperability Still a Major Hurdle
    • Six: Security Breaches Downside for Industry
    • Seven: Usability and Data Entry - an Under the Radar Issue
    • Eight: Opportunity for Telecoms
    • Nine: Disincentives Drive Market
    • Ten: CPOE and Other Features Sell EMR Systems
    • Eleven: Technology Moving Faster Than EMR Technology Providers
    • Twelve: Data Storage Concerns- Top Focus
    • Thirteen: EHRs More Personalized
    • Fourteen: Move by ONC For More Transparency and Accountability
    • Fifteen: Paradigm Shift in Expectations
    • Sixteen: Mobile Health Systems
    • Seventeen: Telemedicine
    • Eighteen: Artificial Intelligence
    • Nineteen: Blockchain
    • Twenty: Patient Engagement
    • Twenty-one: Healthcare Analytics
    • Twenty-two: Tech Giants Invest in Healthcare
    • Twenty-three: Patient-Centered Healthcare Priority
    • Twenty-four: MIPS Changes
    • Twenty-five: Burnout Concerns
    • Twenty-six: EMR Patient Safety Issues

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