U.S. Market for PACS and EMR 2010
In 2008, the market for PACS was valued at almost $1.3 billion, representing an increase of 6.7% over 2007. This market encompasses large hospitals (500+ beds), medium hospitals (201-499 beds), community hospitals (200 beds and under) and imaging centers (non-affiliated). This growth will be fuelled by the sales of PACS, mostly to the community and imaging center markets. Replacement–driven sales will fuel the market for the medium and large hospital sectors. This report also covers the market for electronic medical records.
LIST OF FIGURES
LIST OF CHARTS
EXECUTIVE SUMMARY
1.1 OVERVIEW OF PACS AND EMR
1.2 PICTURE ARCHIVING COMMUNICATION SYSTEM (PACS)
1.3 PACS MARKET SEGMENTED BY NUMBER OF IMAGING PROCEDURES PER FACILITY
1.4 ELECTRONIC MEDICAL RECORD MARKET (EMR)
1.5 DIGITAL IMAGING AND COMMUNICATIONS IN MEDICINE (DICOM) PRINTERS
1.6 COMPETITIVE ANALYSIS
RESEARCH METHODOLOGY
2.1 RESEARCH SCOPE
2.2 IDATA’S 9-STEP METHODOLOGY
Step 1: Project Initiation & Team Selection
Step 2: Prepare Data Systems and Perform Secondary Research
Step 3: Preparation for Interviews & Questionnaire Design
Step 4: Performing Primary Research
Step 5: Research Analysis: Establishing Baseline Estimates
Step 6: Market Forecast and Analysis
Step 7: Identify Strategic Opportunities
Step 8: Final Review and Market Release
Step 9: Customer Feedback and Market Monitoring
U.S MARKET FOR PACS, EMR & DICOM PRINTERS
3.1 INTRODUCTION
3.1.1 Introduction to PACS
3.1.2 Introduction to EMR
3.1.3 Introduction to DICOM Printers
3.1.4 PACS, EMR and DICOM Printer Market Relationships
3.2 MARKET OVERVIEW
3.2.1 PACS, EMR and DICOM Printer Markets
3.2.2 Effect of the Economic Crisis
3.3 MARKET ANALYSIS AND FORECAST
3.3.1 PACS Market
3.3.2 PACS Hardware
3.3.3 PACS Software
3.3.4 PACS Financing Options
3.3.5 EMR Market
3.3.6 EMR Hardware
3.3.7 EMR Software
3.3.8 EMR Financing Options
3.3.9 DICOM Printer Market
3.3.10 DICOM Printer Selection
3.4 TOTAL MARKET DRIVERS AND LIMITERS
3.4.1 PACS
3.4.1.1 Drivers
3.4.1.2 Limiters41
3.4.2 EMR Adoption
3.4.2.1 Drivers
3.4.2.2 Limiters44
3.4.3 DICOM Printers
3.4.3.1 Drivers
3.4.3.2 Limiters46
3.5 LEGISLATION
3.5.1 PACS Legislation
3.5.2 EMR Legislation
3.5.3 EMR Certification
3.6 COMPETITIVE ANALYSIS
3.6.1 Overall Market Competitive Analysis
3.6.2 PACS Market Shares
3.6.3 EMR Market Shares
3.6.4 DICOM Printer Market Shares
3.7 MERGERS AND ACQUISITIONS
3.7.1 PACS
3.7.2 EMR
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
4.1 INTRODUCTION
4.1.1 Definition of PACS
4.1.2 DICOM Standards for PACS
4.1.3 HL-7 Standards
4.1.4 Integrating the Healthcare Enterprise (IHE)
4.1.5 PACS Workflow
4.1.6 PACS Image Backup
4.1.7 Hospital Information Systems and Integration
4.2 MARKET OVERVIEW
4.2.1 Total PACS Market
4.2.2 PACS Revenue Segmentation
4.2.3 PACS Hardware
4.2.4 PACS Software
4.2.5 PACS Financing Options
4.3 MARKET ANALYSIS AND FORECAST
4.3.1 Total PACS System Sales
4.3.1.1 PACS Market from New Unit Sales .73
4.3.1.2 PACS System Upgrades Market
4.3.1.3 PACS Service and Maintenance Market.78
4.3.2 Frequency of PACS Vendor Switching
4.4 INSTALLED BASE AND PENETRATION OF PACS
4.4.1 Number of Facilities
4.4.2 PACS Penetration
4.4.3 PACS Installed Base
4.5 PACS MARKET BY HOSPITAL TYPE
4.5.1 Large Hospital PACS Market
4.5.2 Medium Hospital PACS Market
4.5.3 Community Hospitals PACS Market
4.5.4 Non-Affiliated Imaging Center PACS Market
4.6 PACS MARKET BY FACILITY IMAGING PROCEDURE VOLUME
4.6.1 Market for Facilities Performing Over 200,000 Imaging Procedures
4.6.2 Market for Facilities Performing 100,000 to 200,000 Imaging Procedures
4.6.3 Market for Facilities Performing 50,000 to 100,000 Imaging Procedures
4.6.4 Market for Facilities Performing 20,000 to 50,000 Imaging Procedures
4.6.5 Market for Facilities Performing Less Than 20,000 Imaging Procedures
4.7 PACS MARKET BY SPECIALTY
4.7.1 Departmental PACS Systems by Market Share and Unit Share
4.7.2 Radiology PACS by Hospital Type
4.7.3 Cardiology PACS by Hospital Type
4.7.4 Orthopedic PACS by Hospital Type
4.8 DRIVERS AND LIMITERS
4.8.1 Drivers
4.8.2 Limiters
4.9 LEGISLATION
4.9.1 Health Insurance Portability and Accountability Act (HIPAA)
4.9.2 Integrating the Healthcare Enterprise Standard (IHE)
4.10 COMPETITIVE ANALYSIS
4.10.1 Leading Competitors in the PACS Market by Revenue Share
4.10.2 Leading Competitors in the PACS Market by Installed Base Share
4.10.3 Competitor Concentration
ELECTRONIC MEDICAL RECORD MARKET
5.1 INTRODUCTION
5.1.1 EMR vs EHR
5.1.2 Significance of EMR Adoption
5.1.3 Implementation of Computerized Physician Order-Entry (CPOE)
5.1.4 HIMSS Analytics EMR Adoption Model
5.2 EMR LEGISLATION AND CERTIFICATION
5.2.1 EMR Legislation
5.2.2 EMR Certification
5.3 MARKET OVERVIEW
5.3.1 Total Ambulatory EMR Market
5.3.2 Acute vs Ambulatory EMR
5.3.3 EMR Hardware
5.3.4 EMR Software
5.3.5 EMR Financing Options
5.4 MARKET ANALYSIS AND FORECAST
5.4.1 Total Revenue from Sales and Annual Support
5.4.2 Total Number of Ambulatory Practices
5.4.3 Installed Base and Penetration of EMR
5.4.4 EMR Penetration
5.4.5 EMR Units Sold
5.4.6 EMR Average Selling Price of Per-Practice Model
5.4.7 EMR Average Selling Price of Subscription Model
5.5 HOSPITAL EMR MARKET
5.6 QUANTITATIVE BENEFITS AFTER EMR IMPLEMENTATION
5.6.1 Reductions in Chart Pulls, Transcription Costs, Number of Patient
Encounters and Malpractice Premiums
5.6.2 Reduction in Storage Space and Management of Archives
5.6.3 Total Cost Savings after Year One of EMR Implementation
5.6.4 Time Frame: Point of Purchase to EMR Installation
5.7 INFORMATION TECHNOLOGY AND EMR FUNCTIONALITIES
5.7.1 Physician Preference for Mode of IT Support
5.7.2 Physician Preference for EMR Model and Operating System
5.7.3 Preferred Functionalities by Physician Practices for EMR Package
5.8 MARKET DRIVERS AND LIMITERS
5.8.1 Drivers
5.8.2 Limiters
5.9 EMR COMPETITIVE ANALYSIS
5.9.1 Competitor Concentration
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE (DICOM) PRINTER MARKET
6.1 INTRODUCTION
6.2 MARKET ANALYSIS AND FORECAST
6.2.1 DICOM Printer Market
6.2.2 DICOM Printer Units Sold
6.2.3 DICOM Printer Selection
6.3 DRIVERS AND LIMITERS
6.3.1 Drivers
6.3.2 Limiters
6.4 COMPETITIVE ANALYSIS
6.4.1 Market Share
6.4.2 Installed Base Share
6.4.3 Competitor Concentration
LIST OF FIGURES
EXECUTIVE SUMMARY
RESEARCH METHODOLOGY
U.S MARKET FOR PACS, EMR & DICOM PRINTERS
Figure 3-1: Total PACS, EMR and DICOM Printer Markets, U.S., 2005 – 2015
Figure 3-2: Total PACS Market, U.S., 2005 – 2015
Figure 3-3: Total Ambulatory EMR Market, U.S., 2008
Figure 3-4: Total Market for DICOM Printers, U.S., 2005 – 2015
Figure 3-5: Drivers and Limiters, PACS, EMR and DICOM Printer Market, U.S., 2008
Figure 3-6: Leading Competitors, PACS, EMR and DICOM Printer Market, U.S., 2008
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
Figure 4-1: Total PACS Market, U.S., 2005 – 2015
Figure 4-2: Percentage of Revenue from PACS Sales, U.S., 2005 – 2015
Figure 4-3: PACS Market from New Unit Sales, U.S., 2005 – 2015
Figure 4-4: Percentage of Revenue from System Upgrades, U.S., 2005 – 2015
Figure 4-5: Percentage of Revenue from Service and Maintenance, U.S., 2005 – 2015
Figure 4-6: PACS Units Sold by Vendor Relationship, U.S., 2005 – 2015
Figure 4-7: Number of Facilities, U.S., 2005 – 2015
Figure 4-8: Penetration of PACS, U.S., 2005 – 2015
Figure 4-9: Number of Facilities with PACS, U.S., 2008
Figure 4-10: Installed Base for PACS, U.S., 2005 – 2015
Figure 4-11: PACS Units Sold in the Large Hospital Market, U.S., 2005 – 2015
Figure 4-12: PACS Units Sold in the Medium Hospital Market, U.S., 2005 – 2015
Figure 4-13: PACS Units Sold in the Community Hospital Market, U.S., 2005 – 2015
Figure 4-14: PACS Units Sold in the Non-Affiliated Imaging Center Market, U.S., 2005 – 2015
Figure 4-15: PACS Installed Base Segmented by Number of Imaging Procedures per Facility per Year, U.S., 2008
Figure 4-16: PACS Units Sold to Facilities Performing Over 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-17: PACS Units Sold to Facilities Performing Between 100,000 and 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-18: PACS Units Sold to Facilities Performing Between 50,000 and 100,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-19: PACS Units Sold to Facilities Performing Between 20,000 and 50,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-20: PACS Units Sold to Facilities Performing Less Than 20,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-21: Drivers and Limiters, PACS Market, U.S., 2008
Figure 4-22: Leading Competitors by Market Share, PACS Market, U.S., 2008
Figure 4-23: Leading Competitors by Installed Base Share, PACS Market, U.S.,2008
Figure 4-24: Competitor Concentration, PACS Market, U.S., 2005 – 2015
ELECTRONIC MEDICAL RECORD MARKET
Figure 5-1: Total Ambulatory EMR Market, U.S., 2008
Figure 5-2: Total Revenue from Sales and Annual Support in Ambulatory Care, U.S., 2005 – 2015
Figure 5-3: Total Number of Ambulatory Practices, U.S., 2008
Figure 5-4: Ambulatory EMR Installed Base, U.S., 2005 – 2015
Figure 5-5: EMR Penetration in Ambulatory Care, U.S., 2005 – 2015
Figure 5-6: Total Units Sold in Ambulatory Care, U.S., 2005 – 2015
Figure 5-7: ASP of Per-Practice Ambulatory EMR Installation, U.S., 2005 – 2015
Figure 5-8: ASP of Ambulatory EMR Subscription Model, U.S., 2005 – 2015
Figure 5-9: Hospital EMR Implementation Levels, U.S., 2008
Figure 5-10: Quantitative Benefits after EMR Implementation, U.S., 2008
Figure 5-11: Quantitative Benefit in Reduction of Storage Space and Management of the Archive, U.S., 2008
Figure 5-12: Total Cost Savings after Year One of Ambulatory EMR Implementation, U.S., 2008
Figure 5-13: Time from Point of Purchase to EMR Installation for Ambulatory Practices and Acute Care Setting, U.S., 2008
Figure 5-14: Physician Preference for EMR Model and Operating System Types, U.S., 2008
Figure 5-15: Drivers and Limiters, EMR Market, U.S., 2008
Figure 5-16: Leading Competitors, EMR Market, U.S., 2008
Figure 5-17: Competitor Concentration, EMR Market, U.S., 2005 – 2015
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE (DICOM) PRINTER MARKET
Figure 6-1: Total Market for DICOM Printers, U.S., 2005 – 2015
Figure 6-2: Units Sold in the Total DICOM Market, U.S., 2005 – 2015
Figure 6-3: Drivers and Limiters, DICOM Printer Market, U.S., 2008
Figure 6-4: Leading Competitors by Market Share, DICOM Printer Market, U.S., 2008
Figure 6-5 Leading Competitors by Installed Base Share, DICOM Printer Market, U.S., 2008
Figure 6-6: Competitor Concentration, DICOM Printer Market, U.S., 2005 – 2015
LIST OF CHARTS
EXECUTIVE SUMMARY
Chart 1-1: Total PACS and EMR Market, U.S., 2005 – 2015
Chart 1-2: Total PACS Market Value, U.S., 2005 – 2015
Chart 1-3: Total PACS Market from New Unit Sales, U.S., 2005 – 2015
Chart 1-4: Distribution of Sales of New PACS Systems by Procedure Volume, U.S, 2008
Chart 1-5: Total Ambulatory EMR Market Revenues, U.S., 2005 – 2015
Chart 1-6: Total Ambulatory EMR Units Installed, U.S., 2005 – 2015
Chart 1-7: Total Market Value for DICOM Printers, U.S., 2005 – 2015
Chart 1-8: Total DICOM Printer Units Sold, U.S., 2005 – 2015
Chart 1-9: Leading Competitors, PACS, EMR and DICOM printers, U.S., 2008
RESEARCH METHODOLOGY
U.S MARKET FOR PACS, EMR & DICOM PRINTERS
Chart 3-1: Total PACS, EMR and DICOM Printer Markets, U.S., 2005 – 2015
Chart 3-2: Total PACS Market, U.S., 2005 – 2015
Chart 3-3: Total Ambulatory EMR Market, U.S., 2005 – 2015
Chart 3-4: DICOM Printer Market, U.S., 2005 – 2015
Chart 3-5: Leading Competitors, PACS, EMR and DICOM Printer Market, U.S., 2008
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
Chart 4-1: Total PACS Market, U.S., 2005 – 2015
Chart 4-2: PACS Revenue Segmentation, U.S., 2008
Chart 4-3: Percentage of Revenue from PACS Sales, U.S., 2005 – 2015
Chart 4-4: Total PACS Market from New Unit Sales, U.S., 2005 – 2015
Chart 4-5: Percentage of Revenue from System Upgrades, U.S., 2005 – 2015
Chart 4-6: Percentage of Revenue from Service and Maintenance, U.S., 2005 – 2015
Chart 4-7: PACS Units Sold by Vendor Relationship, U.S., 2005 – 2015
Chart 4-8: Number of Facilities, U.S., 2008
Chart 4-9: Penetration of PACS, U.S., 2005 – 2015
Chart 4-10: Installed Base for PACS, U.S., 2008
Chart 4-11: Installed Base for PACS, U.S., 2005 – 2015
Chart 4-12: PACS Units Sold in the Large Hospital Market, U.S., 2005 – 2015
Chart 4-13: PACS Units Sold in the Medium Hospital Market, U.S., 2005 – 2015
Chart 4-14: PACS Units Sold in the Community Hospital Market, U.S., 2005 – 2015
Chart 4-15: PACS Units Sold in the Non-Affiliated Imaging Center Market, U.S., 2005 – 2015
Chart 4-16: PACS Units Sold by Number of Imaging Procedures per Facility per Year, U.S., 2005 – 2015
Chart 4-17: PACS Units Sold to Facilities Performing Over 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-18: PACS Units Sold to Facilities Performing Between 100,000 and 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-19: PACS Units Sold to Facilities Performing Between 50,000 and 100,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-20: PACS Units Sold to Facilities Performing Between 20,000 and 50,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-21: PACS Units Sold to Facilities Performing Less Than 20,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-22: Departmental PACS System Revenue Share, U.S., 2008
Chart 4-23: Departmental PACS System Unit Sales Share, U.S., 2008
Chart 4-24: Radiology PACS Units by Hospital Type, U.S., 2008
Chart 4-25: Cardiology PACS Units by Hospital Type, U.S., 2008
Chart 4-26: Orthopedic PACS Units by Hospital Type, U.S., 2008
Chart 4-27: Leading Competitors in the PACS Market by Market Share, U.S., 2008
Chart 4-28: Leading Competitors in the PACS Market by Installed Base Share, U.S., 2008
Chart 4-29: Competitor Concentration, PACS Market, U.S., 2005 – 2015
ELECTRONIC MEDICAL RECORD MARKET
Chart 5-1: Total Ambulatory EMR Market, U.S., 2008
Chart 5-2: Total Market Value from Sales and Annual Support in Ambulatory Care, U.S., 2005 – 2015
Chart 5-3: Total Number of Ambulatory Practices, U.S., 2005 – 2015
Chart 5-4: Ambulatory EMR Installed Base, U.S., 2005 – 2015
Chart 5-5: Ambulatory EMR Units Sold, U.S., 2008
Chart 5-6: EMR Penetration in Ambulatory Practices, U.S., 2008
Chart 5-7: Total Units Sold in Ambulatory Care, U.S., 2005 – 2015
Chart 5-8: ASP of Per-Practice Ambulatory EMR Installation, U.S., 2005 – 2015
Chart 5-9: ASP of Ambulatory EMR Subscription Model, U.S., 2005 – 2015
Chart 5-10: Quantitative Benefit in Reduction of Storage Space and Management of the Archive, U.S., 2008
Chart 5-11: Total Cost Savings after Year One of Ambulatory EMR Implementation, U.S., 2008
Chart 5-12: Mode of IT Support Preferred By Physician Practices, U.S., 2008
Chart 5-13: Physician Preference for “ASP” versus Client/Server Model, U.S., 2008
Chart 5-14: Physician Preference for Windows vs Open Source/Linux Operating Systems, U.S., 2008
Chart 5-15: Preferred Functionalities for EMR by Physicians, U.S., 2008
Chart 5-16: Leading Competitors, EMR Market, U.S., 2008
Chart 5-17: Competitor Concentration, EMR Market, U.S., 2005 – 2015
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE (DICOM) PRINTER MARKET
Chart 6-1: Total Market for DICOM Printers, U.S., 2005 – 2015
Chart 6-2: Units Sold in the Total DICOM Market, U.S., 2005 – 2015
Chart 6-3: Leading Competitors by Market Share, DICOM Printer Market, U.S., 2008
Chart 6-4: Leading Competitors by Installed Base Share, DICOM Printer Market, U.S., 2008
Chart 6-5: Competitor Concentration, DICOM Printer Market, U.S., 2005 – 2015 205
EXECUTIVE SUMMARY
1.1 OVERVIEW OF PACS AND EMR
1.2 PICTURE ARCHIVING COMMUNICATION SYSTEM (PACS)
1.3 PACS MARKET SEGMENTED BY NUMBER OF IMAGING PROCEDURES PER FACILITY
1.4 ELECTRONIC MEDICAL RECORD MARKET (EMR)
1.5 DIGITAL IMAGING AND COMMUNICATIONS IN MEDICINE (DICOM) PRINTERS
1.6 COMPETITIVE ANALYSIS
RESEARCH METHODOLOGY
2.1 RESEARCH SCOPE
2.2 IDATA’S 9-STEP METHODOLOGY
Step 1: Project Initiation & Team Selection
Step 2: Prepare Data Systems and Perform Secondary Research
Step 3: Preparation for Interviews & Questionnaire Design
Step 4: Performing Primary Research
Step 5: Research Analysis: Establishing Baseline Estimates
Step 6: Market Forecast and Analysis
Step 7: Identify Strategic Opportunities
Step 8: Final Review and Market Release
Step 9: Customer Feedback and Market Monitoring
U.S MARKET FOR PACS, EMR & DICOM PRINTERS
3.1 INTRODUCTION
3.1.1 Introduction to PACS
3.1.2 Introduction to EMR
3.1.3 Introduction to DICOM Printers
3.1.4 PACS, EMR and DICOM Printer Market Relationships
3.2 MARKET OVERVIEW
3.2.1 PACS, EMR and DICOM Printer Markets
3.2.2 Effect of the Economic Crisis
3.3 MARKET ANALYSIS AND FORECAST
3.3.1 PACS Market
3.3.2 PACS Hardware
3.3.3 PACS Software
3.3.4 PACS Financing Options
3.3.5 EMR Market
3.3.6 EMR Hardware
3.3.7 EMR Software
3.3.8 EMR Financing Options
3.3.9 DICOM Printer Market
3.3.10 DICOM Printer Selection
3.4 TOTAL MARKET DRIVERS AND LIMITERS
3.4.1 PACS
3.4.1.1 Drivers
3.4.1.2 Limiters41
3.4.2 EMR Adoption
3.4.2.1 Drivers
3.4.2.2 Limiters44
3.4.3 DICOM Printers
3.4.3.1 Drivers
3.4.3.2 Limiters46
3.5 LEGISLATION
3.5.1 PACS Legislation
3.5.2 EMR Legislation
3.5.3 EMR Certification
3.6 COMPETITIVE ANALYSIS
3.6.1 Overall Market Competitive Analysis
3.6.2 PACS Market Shares
3.6.3 EMR Market Shares
3.6.4 DICOM Printer Market Shares
3.7 MERGERS AND ACQUISITIONS
3.7.1 PACS
3.7.2 EMR
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
4.1 INTRODUCTION
4.1.1 Definition of PACS
4.1.2 DICOM Standards for PACS
4.1.3 HL-7 Standards
4.1.4 Integrating the Healthcare Enterprise (IHE)
4.1.5 PACS Workflow
4.1.6 PACS Image Backup
4.1.7 Hospital Information Systems and Integration
4.2 MARKET OVERVIEW
4.2.1 Total PACS Market
4.2.2 PACS Revenue Segmentation
4.2.3 PACS Hardware
4.2.4 PACS Software
4.2.5 PACS Financing Options
4.3 MARKET ANALYSIS AND FORECAST
4.3.1 Total PACS System Sales
4.3.1.1 PACS Market from New Unit Sales .73
4.3.1.2 PACS System Upgrades Market
4.3.1.3 PACS Service and Maintenance Market.78
4.3.2 Frequency of PACS Vendor Switching
4.4 INSTALLED BASE AND PENETRATION OF PACS
4.4.1 Number of Facilities
4.4.2 PACS Penetration
4.4.3 PACS Installed Base
4.5 PACS MARKET BY HOSPITAL TYPE
4.5.1 Large Hospital PACS Market
4.5.2 Medium Hospital PACS Market
4.5.3 Community Hospitals PACS Market
4.5.4 Non-Affiliated Imaging Center PACS Market
4.6 PACS MARKET BY FACILITY IMAGING PROCEDURE VOLUME
4.6.1 Market for Facilities Performing Over 200,000 Imaging Procedures
4.6.2 Market for Facilities Performing 100,000 to 200,000 Imaging Procedures
4.6.3 Market for Facilities Performing 50,000 to 100,000 Imaging Procedures
4.6.4 Market for Facilities Performing 20,000 to 50,000 Imaging Procedures
4.6.5 Market for Facilities Performing Less Than 20,000 Imaging Procedures
4.7 PACS MARKET BY SPECIALTY
4.7.1 Departmental PACS Systems by Market Share and Unit Share
4.7.2 Radiology PACS by Hospital Type
4.7.3 Cardiology PACS by Hospital Type
4.7.4 Orthopedic PACS by Hospital Type
4.8 DRIVERS AND LIMITERS
4.8.1 Drivers
4.8.2 Limiters
4.9 LEGISLATION
4.9.1 Health Insurance Portability and Accountability Act (HIPAA)
4.9.2 Integrating the Healthcare Enterprise Standard (IHE)
4.10 COMPETITIVE ANALYSIS
4.10.1 Leading Competitors in the PACS Market by Revenue Share
4.10.2 Leading Competitors in the PACS Market by Installed Base Share
4.10.3 Competitor Concentration
ELECTRONIC MEDICAL RECORD MARKET
5.1 INTRODUCTION
5.1.1 EMR vs EHR
5.1.2 Significance of EMR Adoption
5.1.3 Implementation of Computerized Physician Order-Entry (CPOE)
5.1.4 HIMSS Analytics EMR Adoption Model
5.2 EMR LEGISLATION AND CERTIFICATION
5.2.1 EMR Legislation
5.2.2 EMR Certification
5.3 MARKET OVERVIEW
5.3.1 Total Ambulatory EMR Market
5.3.2 Acute vs Ambulatory EMR
5.3.3 EMR Hardware
5.3.4 EMR Software
5.3.5 EMR Financing Options
5.4 MARKET ANALYSIS AND FORECAST
5.4.1 Total Revenue from Sales and Annual Support
5.4.2 Total Number of Ambulatory Practices
5.4.3 Installed Base and Penetration of EMR
5.4.4 EMR Penetration
5.4.5 EMR Units Sold
5.4.6 EMR Average Selling Price of Per-Practice Model
5.4.7 EMR Average Selling Price of Subscription Model
5.5 HOSPITAL EMR MARKET
5.6 QUANTITATIVE BENEFITS AFTER EMR IMPLEMENTATION
5.6.1 Reductions in Chart Pulls, Transcription Costs, Number of Patient
Encounters and Malpractice Premiums
5.6.2 Reduction in Storage Space and Management of Archives
5.6.3 Total Cost Savings after Year One of EMR Implementation
5.6.4 Time Frame: Point of Purchase to EMR Installation
5.7 INFORMATION TECHNOLOGY AND EMR FUNCTIONALITIES
5.7.1 Physician Preference for Mode of IT Support
5.7.2 Physician Preference for EMR Model and Operating System
5.7.3 Preferred Functionalities by Physician Practices for EMR Package
5.8 MARKET DRIVERS AND LIMITERS
5.8.1 Drivers
5.8.2 Limiters
5.9 EMR COMPETITIVE ANALYSIS
5.9.1 Competitor Concentration
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE (DICOM) PRINTER MARKET
6.1 INTRODUCTION
6.2 MARKET ANALYSIS AND FORECAST
6.2.1 DICOM Printer Market
6.2.2 DICOM Printer Units Sold
6.2.3 DICOM Printer Selection
6.3 DRIVERS AND LIMITERS
6.3.1 Drivers
6.3.2 Limiters
6.4 COMPETITIVE ANALYSIS
6.4.1 Market Share
6.4.2 Installed Base Share
6.4.3 Competitor Concentration
LIST OF FIGURES
EXECUTIVE SUMMARY
RESEARCH METHODOLOGY
U.S MARKET FOR PACS, EMR & DICOM PRINTERS
Figure 3-1: Total PACS, EMR and DICOM Printer Markets, U.S., 2005 – 2015
Figure 3-2: Total PACS Market, U.S., 2005 – 2015
Figure 3-3: Total Ambulatory EMR Market, U.S., 2008
Figure 3-4: Total Market for DICOM Printers, U.S., 2005 – 2015
Figure 3-5: Drivers and Limiters, PACS, EMR and DICOM Printer Market, U.S., 2008
Figure 3-6: Leading Competitors, PACS, EMR and DICOM Printer Market, U.S., 2008
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
Figure 4-1: Total PACS Market, U.S., 2005 – 2015
Figure 4-2: Percentage of Revenue from PACS Sales, U.S., 2005 – 2015
Figure 4-3: PACS Market from New Unit Sales, U.S., 2005 – 2015
Figure 4-4: Percentage of Revenue from System Upgrades, U.S., 2005 – 2015
Figure 4-5: Percentage of Revenue from Service and Maintenance, U.S., 2005 – 2015
Figure 4-6: PACS Units Sold by Vendor Relationship, U.S., 2005 – 2015
Figure 4-7: Number of Facilities, U.S., 2005 – 2015
Figure 4-8: Penetration of PACS, U.S., 2005 – 2015
Figure 4-9: Number of Facilities with PACS, U.S., 2008
Figure 4-10: Installed Base for PACS, U.S., 2005 – 2015
Figure 4-11: PACS Units Sold in the Large Hospital Market, U.S., 2005 – 2015
Figure 4-12: PACS Units Sold in the Medium Hospital Market, U.S., 2005 – 2015
Figure 4-13: PACS Units Sold in the Community Hospital Market, U.S., 2005 – 2015
Figure 4-14: PACS Units Sold in the Non-Affiliated Imaging Center Market, U.S., 2005 – 2015
Figure 4-15: PACS Installed Base Segmented by Number of Imaging Procedures per Facility per Year, U.S., 2008
Figure 4-16: PACS Units Sold to Facilities Performing Over 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-17: PACS Units Sold to Facilities Performing Between 100,000 and 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-18: PACS Units Sold to Facilities Performing Between 50,000 and 100,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-19: PACS Units Sold to Facilities Performing Between 20,000 and 50,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-20: PACS Units Sold to Facilities Performing Less Than 20,000 Imaging Procedures per Year, U.S., 2005 – 2015
Figure 4-21: Drivers and Limiters, PACS Market, U.S., 2008
Figure 4-22: Leading Competitors by Market Share, PACS Market, U.S., 2008
Figure 4-23: Leading Competitors by Installed Base Share, PACS Market, U.S.,2008
Figure 4-24: Competitor Concentration, PACS Market, U.S., 2005 – 2015
ELECTRONIC MEDICAL RECORD MARKET
Figure 5-1: Total Ambulatory EMR Market, U.S., 2008
Figure 5-2: Total Revenue from Sales and Annual Support in Ambulatory Care, U.S., 2005 – 2015
Figure 5-3: Total Number of Ambulatory Practices, U.S., 2008
Figure 5-4: Ambulatory EMR Installed Base, U.S., 2005 – 2015
Figure 5-5: EMR Penetration in Ambulatory Care, U.S., 2005 – 2015
Figure 5-6: Total Units Sold in Ambulatory Care, U.S., 2005 – 2015
Figure 5-7: ASP of Per-Practice Ambulatory EMR Installation, U.S., 2005 – 2015
Figure 5-8: ASP of Ambulatory EMR Subscription Model, U.S., 2005 – 2015
Figure 5-9: Hospital EMR Implementation Levels, U.S., 2008
Figure 5-10: Quantitative Benefits after EMR Implementation, U.S., 2008
Figure 5-11: Quantitative Benefit in Reduction of Storage Space and Management of the Archive, U.S., 2008
Figure 5-12: Total Cost Savings after Year One of Ambulatory EMR Implementation, U.S., 2008
Figure 5-13: Time from Point of Purchase to EMR Installation for Ambulatory Practices and Acute Care Setting, U.S., 2008
Figure 5-14: Physician Preference for EMR Model and Operating System Types, U.S., 2008
Figure 5-15: Drivers and Limiters, EMR Market, U.S., 2008
Figure 5-16: Leading Competitors, EMR Market, U.S., 2008
Figure 5-17: Competitor Concentration, EMR Market, U.S., 2005 – 2015
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE (DICOM) PRINTER MARKET
Figure 6-1: Total Market for DICOM Printers, U.S., 2005 – 2015
Figure 6-2: Units Sold in the Total DICOM Market, U.S., 2005 – 2015
Figure 6-3: Drivers and Limiters, DICOM Printer Market, U.S., 2008
Figure 6-4: Leading Competitors by Market Share, DICOM Printer Market, U.S., 2008
Figure 6-5 Leading Competitors by Installed Base Share, DICOM Printer Market, U.S., 2008
Figure 6-6: Competitor Concentration, DICOM Printer Market, U.S., 2005 – 2015
LIST OF CHARTS
EXECUTIVE SUMMARY
Chart 1-1: Total PACS and EMR Market, U.S., 2005 – 2015
Chart 1-2: Total PACS Market Value, U.S., 2005 – 2015
Chart 1-3: Total PACS Market from New Unit Sales, U.S., 2005 – 2015
Chart 1-4: Distribution of Sales of New PACS Systems by Procedure Volume, U.S, 2008
Chart 1-5: Total Ambulatory EMR Market Revenues, U.S., 2005 – 2015
Chart 1-6: Total Ambulatory EMR Units Installed, U.S., 2005 – 2015
Chart 1-7: Total Market Value for DICOM Printers, U.S., 2005 – 2015
Chart 1-8: Total DICOM Printer Units Sold, U.S., 2005 – 2015
Chart 1-9: Leading Competitors, PACS, EMR and DICOM printers, U.S., 2008
RESEARCH METHODOLOGY
U.S MARKET FOR PACS, EMR & DICOM PRINTERS
Chart 3-1: Total PACS, EMR and DICOM Printer Markets, U.S., 2005 – 2015
Chart 3-2: Total PACS Market, U.S., 2005 – 2015
Chart 3-3: Total Ambulatory EMR Market, U.S., 2005 – 2015
Chart 3-4: DICOM Printer Market, U.S., 2005 – 2015
Chart 3-5: Leading Competitors, PACS, EMR and DICOM Printer Market, U.S., 2008
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
Chart 4-1: Total PACS Market, U.S., 2005 – 2015
Chart 4-2: PACS Revenue Segmentation, U.S., 2008
Chart 4-3: Percentage of Revenue from PACS Sales, U.S., 2005 – 2015
Chart 4-4: Total PACS Market from New Unit Sales, U.S., 2005 – 2015
Chart 4-5: Percentage of Revenue from System Upgrades, U.S., 2005 – 2015
Chart 4-6: Percentage of Revenue from Service and Maintenance, U.S., 2005 – 2015
Chart 4-7: PACS Units Sold by Vendor Relationship, U.S., 2005 – 2015
Chart 4-8: Number of Facilities, U.S., 2008
Chart 4-9: Penetration of PACS, U.S., 2005 – 2015
Chart 4-10: Installed Base for PACS, U.S., 2008
Chart 4-11: Installed Base for PACS, U.S., 2005 – 2015
Chart 4-12: PACS Units Sold in the Large Hospital Market, U.S., 2005 – 2015
Chart 4-13: PACS Units Sold in the Medium Hospital Market, U.S., 2005 – 2015
Chart 4-14: PACS Units Sold in the Community Hospital Market, U.S., 2005 – 2015
Chart 4-15: PACS Units Sold in the Non-Affiliated Imaging Center Market, U.S., 2005 – 2015
Chart 4-16: PACS Units Sold by Number of Imaging Procedures per Facility per Year, U.S., 2005 – 2015
Chart 4-17: PACS Units Sold to Facilities Performing Over 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-18: PACS Units Sold to Facilities Performing Between 100,000 and 200,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-19: PACS Units Sold to Facilities Performing Between 50,000 and 100,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-20: PACS Units Sold to Facilities Performing Between 20,000 and 50,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-21: PACS Units Sold to Facilities Performing Less Than 20,000 Imaging Procedures per Year, U.S., 2005 – 2015
Chart 4-22: Departmental PACS System Revenue Share, U.S., 2008
Chart 4-23: Departmental PACS System Unit Sales Share, U.S., 2008
Chart 4-24: Radiology PACS Units by Hospital Type, U.S., 2008
Chart 4-25: Cardiology PACS Units by Hospital Type, U.S., 2008
Chart 4-26: Orthopedic PACS Units by Hospital Type, U.S., 2008
Chart 4-27: Leading Competitors in the PACS Market by Market Share, U.S., 2008
Chart 4-28: Leading Competitors in the PACS Market by Installed Base Share, U.S., 2008
Chart 4-29: Competitor Concentration, PACS Market, U.S., 2005 – 2015
ELECTRONIC MEDICAL RECORD MARKET
Chart 5-1: Total Ambulatory EMR Market, U.S., 2008
Chart 5-2: Total Market Value from Sales and Annual Support in Ambulatory Care, U.S., 2005 – 2015
Chart 5-3: Total Number of Ambulatory Practices, U.S., 2005 – 2015
Chart 5-4: Ambulatory EMR Installed Base, U.S., 2005 – 2015
Chart 5-5: Ambulatory EMR Units Sold, U.S., 2008
Chart 5-6: EMR Penetration in Ambulatory Practices, U.S., 2008
Chart 5-7: Total Units Sold in Ambulatory Care, U.S., 2005 – 2015
Chart 5-8: ASP of Per-Practice Ambulatory EMR Installation, U.S., 2005 – 2015
Chart 5-9: ASP of Ambulatory EMR Subscription Model, U.S., 2005 – 2015
Chart 5-10: Quantitative Benefit in Reduction of Storage Space and Management of the Archive, U.S., 2008
Chart 5-11: Total Cost Savings after Year One of Ambulatory EMR Implementation, U.S., 2008
Chart 5-12: Mode of IT Support Preferred By Physician Practices, U.S., 2008
Chart 5-13: Physician Preference for “ASP” versus Client/Server Model, U.S., 2008
Chart 5-14: Physician Preference for Windows vs Open Source/Linux Operating Systems, U.S., 2008
Chart 5-15: Preferred Functionalities for EMR by Physicians, U.S., 2008
Chart 5-16: Leading Competitors, EMR Market, U.S., 2008
Chart 5-17: Competitor Concentration, EMR Market, U.S., 2005 – 2015
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE (DICOM) PRINTER MARKET
Chart 6-1: Total Market for DICOM Printers, U.S., 2005 – 2015
Chart 6-2: Units Sold in the Total DICOM Market, U.S., 2005 – 2015
Chart 6-3: Leading Competitors by Market Share, DICOM Printer Market, U.S., 2008
Chart 6-4: Leading Competitors by Installed Base Share, DICOM Printer Market, U.S., 2008
Chart 6-5: Competitor Concentration, DICOM Printer Market, U.S., 2005 – 2015 205
