EMR Market 2017: Electronic Medical Records in an Era of Disruption


Attention: There is an updated edition available for this report.

EMR Market 2017: Electronic Medical Records Market in an Era of Disruption

For a decade, the EMR market could be said to be growing market on a predictable trajectory. There is a great deal of competition, hundreds of scattered companies serving local or web markets, and a few large concerns that are capturing large institutions. There were government-funded physician and hospital incentives in the largest market of the United States, which transformed to potential penalties.

All the while, some trends we've noted in this report, EMR 2017 included the depth of physician adoption, user dissatisfaction with their purchases, lack of interoperability, implementation difficulties, staffing shortages in IT, the lack of a clear EMR market leader, increasing international markets, and cybersecurity. Additionally, a new administration with a different set of objectives from the Obama Administration that incentivized EMR purchases is in office, potentially changing programs. Kalorama Information believes that at this time these trends are combining to disrupt the EMR marketplace, even while revenues for companies grow. The report takes a look at these trends and provides the following data: 

  • Over 50 Profiles of EMR Companies 
  • US and International Market to 2021 
  • Hospital and Physician Market to 2021 
  • International EMR Markets 
  • The EMR Market, 2014 and Forecasted to 2021 
  • Possible Trump Administration Moves and Likely Impact 
  • Breakouts of Market: Services, Software, Hardware 
  • Meaningful Use, MACRA and Other Policies 
  • The Latest Physician EMR Usage Statistics 
  • Current Hospital Stage Goals and Results 
  • Pricing of EHR Systems and ROI Information


  • Executive Summary
    • The EMR Market in an Era of Disruption
      • EMR Intro
    • Industry at a Glance
    • Scope and Methodology
    • Physicians Use Some EMR, But Usage Limited
    • Hospital Use of EMR Update: Gains in Stage 6, Limited in Stage 7
      • Stage 7 Gains Limited
    • EMR Market: Size and Growth
      • Revenue Growth Changed From Previous Years
        • Table Total Worldwide Market for EMR Technologies Revenues, 2014-2021
    • Key Issues and Trends Affecting the Market
      • Trend of Note: Frustrated Physicians
      • Status of Meaningful Use: Confusion and Possible Change
      • IT Staff Shortages: A Mandate for More Service
      • PR Effect of Cyber Breaches Downside for Industry
    • A Market of More Than 1,000 Companies
    • Conclusion Highlights
  • Fast-Moving Changes: the Era of Disruption in EMR
    • Overview
    • Frustrated Physicians and Wary Hospitals
      • Hospital Vendor Switches Common
      • Physician Disatisfaction
    • Trump Presidency: Change Likely But Unknown
      • Trump Presidency and EMR
      • Reasonable expectations
        • Table Potential Trump Presidency Policy or Market Event and Impact on the EMR Market
    • EMR Market Trends to Watch: Blockchain, BYOD, Artificial Intelligence,OpenSource
      • Blockchain
      • Watch Open Source EMR Applications
      • Benefits of Open Source EMR Applications
        • Table Select Free or Open Source EMR Products
      • BYOD Employees Trend Accelerates
    • Radical Product Innovations: Dashboard Modules, Usability, Tablets, E-Prescribe, Big Data
      • Usability is a Must
      • Tablet-Focus Essential for EMR Vendors
      • CPOE and Other Features Sell EMR Systems
    • Consolidating EMR Companies
      • Table Mergers and Acquisitions
    • Ransomware and Other Cybersecurity Threats
      • Cybersecurity Breaches 2016
      • Breaches 2015
      • Breaches 2014
      • Fraud and Security Surveillance Increases
    • MACRA Upends Physician Payments
      • Merit Based Incentive Payment System
      • Alternative Payment Models (APM)
      • Vendor Readiness
    • Significant Bottlenecks to Full EMR Usage Remain
      • Reliability
      • Accountability
      • Patient Privacy
      • EMR Software
      • Social and Organizational Barriers
    • Large Underserved Market
      • Physician Practices: Still Growth Area of EMRs
      • Opportunity for Telecoms in EMR
    • Pricing of EMRs
      • Table Average Total Cost for a Three-Physician Practice for EMR/PMS Installations
      • Table Total Cost Range for EMR/PMS Installations
      • Table Estimated 2-Year Total Cost for EMR/PMS Installations/Subscriptions 2010-2016 Selected Products (estimated)
    • Global Healthcare Spending Trends Related to EHR
      • Europe
        • Table EU Healthcare Expenditures as Percent of GDP by Select Countries
      • Asia Pacific
      • The US Market
    • EMR History and Overview
      • History
      • The Medical Record
      • The Electronic Medical Record
      • Industry Terminology
      • EMR and EHR
        • Table Terminology Comparison Matrix
    • What is in an EMR?
      • Administrative System Components
      • Laboratory System Components
      • Radiology System Components
      • Pharmacy System Components
      • Computerized Physician Order Entry
      • Clinical Documentation
      • Flow of Patient Data across Various Components
  • Big Issues: Meaningful Use, Adoption Interoperability, Cybersecurity
    • Meaningful Use
      • Table Attestation Details
      • Modified Stage 2
        • Table Modified Stage of Meaningful Use 2015-2019 and beyond
    • ONC Interoperability Guidelines Draft
    • Interoperability
      • Types of Interoperability
        • Table Three Types of Interoperability
      • Dimensions of Interoperability
      • Benefits
      • CommonWell Alliance
      • Sequoia Project
      • The InteroperabilityPledge
    • FHIR
      • Argonaut Project
    • Adoption Issues
      • Table Physician Office National Level Adoption by Vendor
    • Physician EMR Adoption Growing, But Use is Limited
      • Table Physician Adoption of EMRs 2006-2016, Basic System and Fully Functional System
      • Table Percentage of Physicians Reporting Fully Functional EMR
      • 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)
      • Physician EMR Adoption by Region (US)
        • Table Physician Usage by US Region
        • Table Percentage of Office-based Physicians with Certified EMR by State
    • Hospital Adoption: Gains in Stage 6
      • United States
        • Table US EMR Hospital Adoption Model 2016
    • Canadian Hospitals Lag
      • Table Canada EMR Hospital Adoption Model 2015
      • Table US Ambulatory EMR Adoption Model 2015
      • Table Ownership vs Non-ownership Adoption Rates 2014-2016
      • Table Doctors Office Adoption Rates 2013-2017 (%)
  • Market Analysis
    • Market Overview
      • Table EMR Market Analysis 2014-2021 ($ millions)
    • EMR Market by Region
      • United States
        • Table Market Size and Growth for US EMR Market, 2016-2021 ($millions)
      • EMEA
        • Table Market Size and Growth for EMEA EMR Market, 2016-2021 ($millions)
      • United Kingdom
        • Table Market Size and Growth for UK EMR Market, 2016-2021 ($millions)
      • Germany
        • Table Market Size and Growth for GermanyEMR Market, 2016-2021 ($millions)
      • France
        • Table Market Size and Growth for FranceEMR Market, 2016-2021 ($millions)
      • Spain
        • Table Market Size and Growth for Spain EMR Market, 2016-2021 ($millions)
      • Nordic Countries
        • Table Market Size and Growth for Nordic Countries EMR Market, 2016-2021 ($millions)
      • Middle East
        • Table Market Size and Growth for Middle East EMR Market, 2016-2021 ($millions)
      • Africa
        • Table Market Size and Growth for Africa EMR Market, 2016-2021 ($millions)
      • Others
        • Table Market Size and Growth for Others EMR Market, 2016-2021 ($millions)
      • APAC
        • Table Market Size and Growth for APAC EMR Market, 2016-2021 ($millions)
      • Japan
        • Table Market Size and Growth for Japan EMR Market, 2016-2021 ($millions)
      • China
        • Table Market Size and Growth for China EMR Market, 2016-2021 ($millions)
      • India
        • Table Market Size and Growth for India EMR Market, 2016-2021 ($millions)
      • Australia
        • Table Market Size and Growth for Australia EMR Market, 2016-2021 ($millions)
      • Others
        • Table Market Size and Growth for Other APAC Countries EMR Market, 2016-2021 ($millions)
      • Rest of World
        • Table Market Size and Growth for Rest of World EMR Market, 2016-2021 ($millions)
      • Brazil
        • Table Market Size and Growth for Brazil EMR Market, 2016-2021 ($millions)
      • Canada
        • Table Market Size and Growth for Canada EMR Market, 2016-2021 ($millions)
      • Others
        • Table Market Size and Growth for Other ROW Countries EMR Market, 2016-2021 ($millions)
    • EMR Market by End-User Segment
      • Hospital
        • Table Market Size and Growth for Hospital EMR Market, 2016-2021 ($millions)
      • Physician/Web-based
        • Table Market Size and Growth for Physician/Web-based EMR Market, 2016-2021 ($millions)
        • Table Hospital vs Physician/Web Breakdown 2016
        • Table Hospital vs Physician/Web Breakdown 2021
    • EMR Market Size by Segment
      • Hardware Segment of EMR Market
      • Software Segment of EMR Market
      • Services Segment of EMR Market
        • Table EMR Breakdown by Type 2016
    • Competitive Analysis: 30+ Significant EMR Players
      • Hospitals and Health System Technology Providers
      • Practice Management System (PMS) Acquirers
      • Pharmacy Services Providers
      • Other Entities
      • Large Practices (20+ Practitioners)
      • Small Practitioners (1-20 Practitioners)
      • Web-based Users
      • Meaningful Use Attestations
    • Who's Winning in EMR: Market Share
      • Top 10+ Companies in EMR
        • Table Revenues and Market Share of EMR Providers 2016 (in millions $)
        • Table EMR Top Six Providers Market Share % 2016
      • Market Leadership -Hopsital EMR
      • Market Leadership -Physician Office
  • Company Profiles
    • Table EMR Mergers and Acquisitions
    • 4Medica
      • Table 4Medica Corporate Summary
      • Company Overview
    • AdvanceMD
      • Table AdvanceMD Corporate Summary
      • Company Overview
    • Alert Life Sciences Computing S.A.
      • Table Alert Life Sciences Computing S.A. Corporate Summary
      • Company Overview
    • Allmeds
      • Table Allmeds Corporate Summary
      • Company Overview
    • Allscripts Healthcare Solutions
      • Table Allscripts Healthcare Solutions Corporate Summary
      • Company Overview
      • Company Financials
        • Table Allscripts (2013-2016) ($ millions)
    • Amazing Charts, LLC
      • Table Amazing Charts, LLC Corporate Summary
      • Company Overview
    • Aprima Medical Software, Inc
      • Table Aprima Medical Software Corporate Summary
      • Company Overview
    • Athenahealth, Inc
      • Table athenahealth, Inc. Corporate Summary
      • Company Overview
      • Company Financials
        • Table athenahealth Revenue (2013-2016) ($ millions)
    • BizMatics, Inc.
      • Table BizmaticsCorporate 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 Corporate Summary
      • Company Overview
      • Company Financials
        • Table Cerner Revenue (2013-2016) ($ millions)
    • ChartLogic, Inc
      • Table ChartLogicCorporate Summary
      • Company Overview
    • CompuGroup Medical AG
      • Table CompuGroup Medical AG Corporate Summary
      • Company Overview
      • Company Financials
        • Table CompuGroup Revenue (2013-2016) ($ millions)
    • Computer Programs and Systems, Inc
      • Table Computer Programs and Systems Corporate Summary
      • Company Overview
      • Company Financials
        • Table CPSI Revenue (2013-2016) ($ millions)
    • Computer Sciences Corporation (CSC)
      • Table CSC Corporate Summary
      • Company Overview
      • Company Financials
        • Table CSC Revenue (2013-2016) ($ billions)
    • CureMD
      • Table CureMD Corporate Summary
      • Company Overview
    • drchrono
      • Table drchrono 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 (2013-2016) ($ millions)
    • e-MDs
      • Table e-MDs Corporate Summary
      • Company Overview
    • EMIS Health
      • Table EMIS Health Corporate Summary
      • Company Overview
      • Company Financials
        • Table EMIS Health Estimated Revenue (2013-2016) ($ millions)
    • Epic Systems Corporation
      • Table Epic Systems Corporate Summary
      • Company Overview
      • Company Financials
        • Table EPIC Systems Corporation Estimated Revenue (2013-2016) ($ millions)
    • GE Healthcare
      • Table GE Healthcare Corporate Summary
      • Company Overview
      • Company Financials
        • Table GE Healthcare Revenue (2013-2016) ($ millions)
    • Greenway Health, LLC
      • Table GF Health Products Corporate Summary
      • Company Overview
      • Company Financials
        • Table Greenway Health Revenue (2013-2016) ($ millions)
    • HealthFusion, Inc
      • Table HealthFusion Corporate Summary
      • Company Overview
    • Healthland
      • Table Healthland Corporate Summary
      • Company Overview
    • Henry Schein MicroMD
      • Table Henry Schein MicroMD Corporate Summary
      • Company Overview
    • IBM Healthcare
      • Table IBM Healthcare Corporate Summary
      • Company Overview
      • Company Financials
        • Table IBM Watson Health Revenue (2013-2016) ($ millions)
    • IMS MAXIMS
      • Table IMS MAXIMS Corporate Summary
      • Company Overview
    • InterSystems Corporation
      • Table InterSystems Corporate Summary
      • Company Overview
    • Kareo
      • Table KareoCorporate Summary
      • Company Overview
    • Kronos Incorporated
      • Table Kronos Corporate Summary
      • Company Overview
    • McKesson Corporation
      • Table McKesson Corporate Summary
      • Company Overview
      • Company Financials
        • Table McKesson Revenue (2013-2016) ($ millions)
    • MEDHOST
      • Table MEDHOST Corporate Summary
      • Company Overview
    • Meditab Software, Inc
      • Table Meditab Software Corporate Summary
      • Company Overview
    • Medical Information Technology, Inc (MEDITECH)
      • Table MEDITECH Corporate Summary
      • Company Overview
      • Company Financials
        • Table MEDITECH Revenue (2013-2016) ($ millions)
    • Medent Community Computer Service, Inc.
      • Table Medent Community Computer Service Corporate Summary
      • Company Overview
    • Medsphere Systems Corporation
      • Table Medsphere Systems Corporate Summary
      • Company Overview
    • Microtest Ltd.
      • Table Microtest Corporate Summary
      • Company Overview
    • NextGen Healthcare Information Systems
      • Table NextGen Healthcare Corporate Summary
      • Company Overview
      • Company Financials
        • Table NextGenRevenue (2013-2016) ($ millions)
    • Nextech
      • Table Nextech Medical Corporate Summary
      • Company Overview
    • Nightingale Infomatix Corporation (now Telus Health)
      • Table Nightingale Informatix Corporate Summary
      • Company Overview
    • NoemaLife S.p.A.
      • Table NoemaLifeCorporate Summary
      • Company Overview
    • Nuesoft Technologies, Inc
      • Table Nuesoft Corporate Summary
      • Company Overview
    • Practice Fusion
      • Table Practice Fusion Corporate Summary
      • Company Overview
    • Quadramed Corporation
      • Table QuadramedCorporate Summary
      • Company Overview
    • Quality Systems, Inc
      • Table Quality Systems Corporate Summary
      • Company Overview
      • Company Financials
        • Table Quality Systems Inc (2013-2016) ($ millions)
    • Praxis
      • Table Praxis Corporate Summary
      • Company Overview
    • Quest Diagnostics, Inc.
      • Table Quest Diagnostics Corporate Summary
      • Company Overview
      • Company Financials
        • Table Quest Diagnostics (2013-2016) ($ millions)
    • SAP SE
      • Table SAP SE Corporate Summary
      • Company Overview
      • Company Financials
        • Table SAP SE (2013-2016) ($ millions)
    • SequelMed
      • Table SequelMed Corporate Summary
      • Company Overview
    • Streamline MD
      • Table StreamlineMD Corporate Summary
      • Company Overview
    • Tieto
      • Table Tieto Corporate Summary
      • Company Overview
      • Company Financials
        • Table Tieto (2013-2016) ($ millions)
    • WRS Health
      • Table WRS Health Corporate Summary
      • Company Overview
    • WebPT
      • Table WebPTCorporate Summary
      • Company Overview

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