Thursday, May 20, 2010

EHRs – Size of Physician Market, Number Sold, By Whom, Comprehensiveness of Systems Sold

Today I received the following email from Chris Thorman, Senior Marketing Manager for Software Advice in Austin, Texas (chris@softwareadvice.com). I pass it along to you without editorial comment.


This article comes from Chris Thorman, who blogs about web-based EMRsat Software Advice


EHR Software Market Share Analysis

Calculating market share for the electronic health record (EHR) market is no easy task. There are over 300 software vendors, many market segments (consider: size of practice served, specialties services, inpatient/outpatient) and very “fuzzy” sources of data.

Nevertheless, the team at Software Advice set out to see what numbers we could pull together. We limited our analysis to the outpatient EHR software market. Moreover, we decided to measure market share based on the number of physicians users, rather than vendor revenue or other metrics. We tried to keep it simple. It’s not.

Number of Doctors Using EHR Software


First, let’s define the total size of the market we are analyzing. Of the approximately 788,000 physicians in the United States, 65% of them work in an outpatient facility or physician’s practice, according to the Bureau of Labor & Statistics. That’s 512,000 possible physicians who are in the outpatient EHR software market.

According to a recent study of office-based physicians released by the Center for Disease Control and Prevention (CDC), 44% of those of 512,000 office-based doctors had adopted either a partial, basic, or fully functional EHR system. That’s 225,000 outpatient doctors using an EHR to some extent. Here’s how EHR adoption breaks down among the total number (512,000) of outpatient physicians in the United States:

Outpatient EHR Adoption , 2009

• No EHR adoption, 56%
• Basic EHR adoption, 21%
• Partial EHR adoption, 17%
• Fully functional EHR adoption, 6%


The CDC defines “partial” EHR systems as those not exclusively used for billing. “Basic” systems include the following functionalities: patient demographic information, patient problem lists, clinical notes, orders for prescriptions, and viewing laboratory and imaging results.

Systems defined by the CDC as “fully functional” include all functionalities of a basic system plus these functionalities: medical history and follow-up, orders for tests, prescription and test orders sent electronically, warnings of drug interactions or contraindications, highlighting of out-of-range test levels, electronic images returned, and reminders for guideline-based interventions.

Outpatient EHR Market Share

So, what EHR software are the 225,000 physicians using? Based on number of physician users, here’s how the market breaks down:

Outpatient EHR software market share by vendor, 2010


• Epic, 17%
• AllScripts, 15%
• eClinicalWorks, 15%
• NextGen, 13%
• SOAPware, 12%
• GE Centricity, 10%
• Other Vendors, 10%
• Practice Fusion, 7%

Software Advice’s analysis showed that a handful of vendors – Allscripts, Epic, eClinicalWorks NextGen, and GE Centricity – own more than three-quarters of the ambulatory EHR software market. This is a similar trend that other EHR market reports and analysis have noted.

Here is the data Software Advice was able to gather on the top EHR vendors, based on volume of physician users:

Vendor Physician Users Practices Served


Epic 45,000 N.A.
Allscripts 40,000 N.A.
eClinicalWorks 40,000 6,500
GE Centricity 35,000 2,500
NextGen 35,000 2,000
SOAPWare 30,000 8,000
Practice Fusion 18,500 10,000
Eclipsys 11,000 N.A.
Sage Health 10,000 N.A.
Greenway Medical 6,000 1,400

Clarifications, Disclaimers, Footnotes, Contradictions, etc.


As mentioned in the introduction, the EHR software market has many “fuzzy” sources of data. In fact, when all of the physician users are calculated in the table above, the number of physicians using EHRs in the United States is more than 40,000 over what the CDC reported. Clearly, we need to dig into these numbers a bit more.

In most cases, the information was gathered directly from the EHR software vendors. For those vendors that weren’t able to be contacted, publicly reported information was used. In some cases, exact numbers of physicians and practices were available. In some cases, approximations were used by Software Advice and the software vendors (In the case of a discrepancy, please contact us).

Here are a few questions that came up during the research process whose answers would help refine our market share numbers:

• Sage Health. How many of Sage Health’s users are using their Intergy EHR product in conjunction with their practice management software versus those using just Sage’s practice management software, in particular, Medical Manager?

• Allscripts. How many of Allscripts users are still using Misys practice management systems? Like Sage, they have a huge practice management installed base, but not all of those customers are using their advanced EHR systems.

• Epic and NextGen. How many of their users are exclusively outpatient customers? Both of these EHR vendors are meaningful players in the inpatient EHR market. We need to exclude those physicians from our analysis.

• GE Centricity. General Electric didn’t distinguish between physician (MD) users and mid-level providers in their count of users. This would be a helpful distinction to have in this analysis.

• Practice Fusion. Being a free EHR system, it would be important to see how many of Practice Fusion’s EHR users are actively using their software, instead of just kicking the tires on a cool new web-based EHR and “freemium” business model.

Feedback (We Need Your Help)

Software Advice knows many of you are just as, if not more, intimately plugged into the EHR software market than we are. That’s why we’d like your feedback to help figure out these numbers.

Which vendors’ numbers are higher? Lower? Who are the up and coming players that will earn significant market share in the coming years?

For comments on this post, email Chris at chris@softwareadvice.com
EHR Software Market Share Analysis

Calculating market share for the electronic health record (EHR) market is no easy task. There are over 300 software vendors, many market segments (consider: size of practice served, specialties services, inpatient/outpatient) and very “fuzzy” sources of data.

Nevertheless, the team at Software Advice set out to see what numbers we could pull together. We limited our analysis to the outpatient EHR software market. Moreover, we decided to measure market share based on the number of physicians users, rather than vendor revenue or other metrics. We tried to keep it simple. It’s not.

Number of Doctors Using EHR Software


First, let’s define the total size of the market we are analyzing. Of the approximately 788,000 physicians in the United States, 65% of them work in an outpatient facility or physician’s practice, according to the Bureau of Labor & Statistics. That’s 512,000 possible physicians who are in the outpatient EHR software market.

According to a recent study of office-based physicians released by the Center for Disease Control and Prevention (CDC), 44% of those of 512,000 office-based doctors had adopted either a partial, basic, or fully functional EHR system. That’s 225,000 outpatient doctors using an EHR to some extent. Here’s how EHR adoption breaks down among the total number (512,000) of outpatient physicians in the United States:

Outpatient EHR Adoption , 2009

• No EHR adoption, 56%
• Basic EHR adoption, 21%
• Partial EHR adoption, 17%
• Fully functional EHR adoption, 6%


The CDC defines “partial” EHR systems as those not exclusively used for billing. “Basic” systems include the following functionalities: patient demographic information, patient problem lists, clinical notes, orders for prescriptions, and viewing laboratory and imaging results.

Systems defined by the CDC as “fully functional” include all functionalities of a basic system plus these functionalities: medical history and follow-up, orders for tests, prescription and test orders sent electronically, warnings of drug interactions or contraindications, highlighting of out-of-range test levels, electronic images returned, and reminders for guideline-based interventions.

Outpatient EHR Market Share

So, what EHR software are the 225,000 physicians using? Based on number of physician users, here’s how the market breaks down:

Outpatient EHR software market share by vendor, 2010


• Epic, 17%
• AllScripts, 15%
• eClinicalWorks, 15%
• NextGen, 13%
• SOAPware, 12%
• GE Centricity, 10%
• Other Vendors, 10%
• Practice Fusion, 7%

Software Advice’s analysis showed that a handful of vendors – Allscripts, Epic, eClinicalWorks NextGen, and GE Centricity – own more than three-quarters of the ambulatory EHR software market. This is a similar trend that other EHR market reports and analysis have noted.

Here is the data Software Advice was able to gather on the top EHR vendors, based on volume of physician users:

Vendor Physician Users Practices Served


Epic 45,000 N.A.
Allscripts 40,000 N.A.
eClinicalWorks 40,000 6,500
GE Centricity 35,000 2,500
NextGen 35,000 2,000
SOAPWare 30,000 8,000
Practice Fusion 18,500 10,000
Eclipsys 11,000 N.A.
Sage Health 10,000 N.A.
Greenway Medical 6,000 1,400

Clarifications, Disclaimers, Footnotes, Contradictions, etc.


As mentioned in the introduction, the EHR software market has many “fuzzy” sources of data. In fact, when all of the physician users are calculated in the table above, the number of physicians using EHRs in the United States is more than 40,000 over what the CDC reported. Clearly, we need to dig into these numbers a bit more.

In most cases, the information was gathered directly from the EHR software vendors. For those vendors that weren’t able to be contacted, publicly reported information was used. In some cases, exact numbers of physicians and practices were available. In some cases, approximations were used by Software Advice and the software vendors (In the case of a discrepancy, please contact us).

Here are a few questions that came up during the research process whose answers would help refine our market share numbers:

• Sage Health. How many of Sage Health’s users are using their Intergy EHR product in conjunction with their practice management software versus those using just Sage’s practice management software, in particular, Medical Manager?

• Allscripts. How many of Allscripts users are still using Misys practice management systems? Like Sage, they have a huge practice management installed base, but not all of those customers are using their advanced EHR systems.

• Epic and NextGen. How many of their users are exclusively outpatient customers? Both of these EHR vendors are meaningful players in the inpatient EHR market. We need to exclude those physicians from our analysis.

• GE Centricity. General Electric didn’t distinguish between physician (MD) users and mid-level providers in their count of users. This would be a helpful distinction to have in this analysis.

• Practice Fusion. Being a free EHR system, it would be important to see how many of Practice Fusion’s EHR users are actively using their software, instead of just kicking the tires on a cool new web-based EHR and “freemium” business model.

Feedback (We Need Your Help)

Software Advice knows many of you are just as, if not more, intimately plugged into the EHR software market than we are. That’s why we’d like your feedback to help figure out these numbers.

Which vendors’ numbers are higher? Lower? Who are the up and coming players that will earn significant market share in the coming years?

For comments on this post, email Chris at chris@softwareadvice.com

42 comments:

James Guertin said...

We cannot ignore the fact that EHR systems have become an integral part of many health care practitioners. Also, there have been an increase in medical billing services that are currently being offered. The practice management software, for instance, is a great tool in helping manage claims, resolve unpaid balances, billing inquiries and payments. Definitely, these innovations in the medical field guarantee accurate information and faster processing of transactions.

laura sharon said...

As much as three quarters of hospital staff are usually burdened with some sort of billing-related work in a traditional billing system. Opting for electronic medical billing solutions (ones that come with free EMR plans) that fit easily into the healthcare business' workflow are key to freeing up staff resources.
Physician Billing Services
Medical Billing Services

Diane said...

I consider everyone must read this.

Anonymous said...

When someone writes an paragraph he/she retains the plan of a user
in his/her mind that how a user can know it. So that's why this post is perfect. Thanks!

Have a look at my site - low carb chocolate

Anonymous said...

Quality posts is the secret to invite the viewers to pay a quick visit the site, that's what this website is providing.

My blog - wordpress grundkurs
My website > wordpress codex

Anonymous said...

Hi, its nice paragraph regarding media print, we all understand media is a wonderful
source of data.

Also visit my blog - low cab
Also see my web page - no carb food list

Anonymous said...

When I initially commented I clicked the "Notify me when new comments are added" checkbox and now each time a
comment is added I get three e-mails with the same comment.
Is there any way you can remove people from that service?

Thanks a lot!

Feel free to surf to my web site - just click the next site

Anonymous said...

It improves blood and oxygen flow to the muscles
that are recovering from the prior hard workout. Then you'll have no trouble motivating yourself to do it. Nothing is more motivating than seeing physical proof of results.

Also visit my web site: http://www.sbdcdev.com/codelibrary/ByronmlLegeroq

Anonymous said...

White biotechnology is for the business field and the marine biotechnology
for all sea life. It happens when our body cannot excrete sufficient insulin or when cells cannot react with insulin and subsequently glucose inside our blood is being
accumulated and excreted from urine. Biotechnology
company profiles give detail information on the new product launches, technology, product portfolio, ongoing research activities and company"s future plans.

Also visit my webpage; Biotechnology and Bioengineering

Anonymous said...

I am really delighted to read this webpage posts which carries tons of
helpful data, thanks for providing these statistics.



Also visit my web site - geofacebook.com

Anonymous said...

you'll be able to choose out your funny image as per your want and interest. But be sure to have the old removed first; otherwise the new will not come into play. There are a few selections of these to choose from on this site too.

Also visit my web site: click through the up coming web page

Anonymous said...

So, before you play, make sure you stretch the muscles used in swinging
your golf club. You may want to try the buddy system, as lot of people
find that this motivates them tremendously. Let's say you want to be able to run 10 miles without stopping.

Feel free to visit my webpage :: fitness tips abs

Anonymous said...

This simple app provides lots of funny facts that you have ever known.

The goal with a funny picture is to have the photograph be
almost a blank canvas for you to put the punch line on.
A few young superstars have made their name just from being spread across
the internet in videos and photos.

Take a look at my webpage Highly recommended Reading

Anonymous said...

I could not refrain from commenting. Well written!



Also visit my web site :: dicttrans.com

Anonymous said...

Itís nearly impossible to find well-informed people for this topic, however, you
seem like you know what youíre talking about! Thanks

Here is my page - www.cheers-1inc.com

Anonymous said...

There's definately a great deal to know about this subject. I love all the points you have made.

My blog post latest celebrity news and gossip

Anonymous said...

To start earning dollars along with your internet log,
initially use Google Adsense but step by step as your targeted traffic growths, Continue adding a growing number of revenue creating
applications to your web site.

Also visit my weblog - click through the following page

herbal medicine said...

obat herpes kelamin cara mengobati herpes kelamin obat herbal herpes kelamin gejala penyakit herpes kelamin

herbal medicine said...

pengobatan penyakit herpes kelamin cara mengobati herpes kelamin obat herpes kelamin obat herpes kelamin

herbal medicine said...

obat herpes kelamin cara mengobati herpes kelamin obat herbal herpes kelamin gejala penyakit herpes kelamin

herbal medicine said...

pengobatan penyakit herpes kelamin cara mengobati herpes kelamin obat kanker obat kanker payudara

obat herbal said...

cara menghilangkan kutil kelamin cara cepat menghilangkan kutil kelamin_3 obat kutil kelamin pria obat menghilangkan kutil kelamin obat kutil di kemaluan obat kutil kelamin atau jengger ayam

wasirdenature said...

obat gonore atau kemaluan keluar cairan nanah obat cairan nanah keluar dari alat kelamin obat alat kelamin keluar nanah obat kemaluan keluar nanah obat wasir herbal obat kutil kelamin ampuh cara mengobati sipilis penyakit kencing nanah cara mengobati ujung kemaluan keluar nanah cara mengobati ujung kemaluan keluar nanah cara mengobati ujung kemaluan keluar nanah cara mengobati ujung kemaluan keluar nanah kemaluan yang keluar nanah kemaluan keluar nanah tapi tidak sakit obat wasir luar stadium obat herbal wasir stadium kenapa kemaluan lelaki keluar nanah obat ambeien tradisional paling ampuh obat ambeien tanpa operasi obat wasir ampuh di apotik obat wasir ibu hamil obat ampuh wasir berdarah obat untuk kemaluan lelaki yang keluar nanah obat penyakit gonore atau kemaluan keluar nanah

lionelmessi10 said...

obat gonore atau kemaluan keluar cairan nanah obat cairan nanah keluar dari alat kelamin obat alat kelamin keluar nanah obat kemaluan keluar nanah obat wasir herbal obat kutil kelamin ampuh cara mengobati sipilis penyakit kencing nanah cara mengobati ujung kemaluan keluar nanah cara mengobati ujung kemaluan keluar nanah cara mengobati ujung kemaluan keluar nanah cara mengobati ujung kemaluan keluar nanah kemaluan yang keluar nanah kemaluan keluar nanah tapi tidak sakit obat wasir luar stadium obat herbal wasir stadium kenapa kemaluan lelaki keluar nanah obat ambeien tradisional paling ampuh obat ambeien tanpa operasi obat wasir ampuh di apotik obat wasir ibu hamil obat ampuh wasir berdarah obat untuk kemaluan lelaki yang keluar nanah obat penyakit gonore atau kemaluan keluar nanah

Mitcheal Clerk said...

Every week-end I used to pay a fast visit this site, because I’d like enjoyment, because this web site conations certainly fussy material.checklink

Sheena Martin said...

Good blog along with the excellent quality stuff and I’m sure this will be greatly helpful.Drug treatment delray

Md Anisuzzaman said...
This comment has been removed by the author.
Trust Mandiri said...

Konsultan ISO 9001

Konsultan ISO Jogja

Konsultan ISO Yogyakarta

Konsultan ISO Magelang

Konsultan ISO adalah

Konsultan ISO 14001

Konsultan ISO 22000

Konsultan ISO Solo

Konsultan ISO murah

Konsultan ISO Semarang

Konsultan ISO 9001:2015

Konsultan ISO Semarang

Konsultan ISO Indonesia

Konsultan ISO Yogyakarta

Konsultan ISO Batam

Konsultan ISO Solo

Konsultan ISO di Yogyakarta

Konsultan ISO di Jogja

Konsultan ISO di Semarang

Konsultan ISO 9001 Jogja

Konsultan ISO 9001 di Jogja

Training ISO 9001

Konsultan ISO 9001 di Yogyakarta

Sertifikasi ISO

Training ISO Jogja

Training ISO 9001:2015 Yogyakarta

Training ISO 9001:2015

najwa said...

Menghilangkan Kutil Di KelaminJika penyakit ini terus dibiarkan maka gejala juga akan terasa menyakitkan. Mengenai proses munculnya, kutil pada pria ini bisa hadir dalam bentuk datar atau berukuran besar dan berkelompok. Ciri yang paling umum dari kutil kelamin ini adalah bentuknya yang menyerupai kembang kol. untuk cara pemesanana silahkan kunjungsite kami

obat kelamin keluar nanahDan kondisi ini dapat semakin parah dan kemudian menimbulkan berbagai macam komplikasi seperti peradangan sendi dan infeksi jantung. Hal yang seperti ini dapat dicegah dengan mengenali gejala awalnya, sehingga penyakit ini tidak bertambah parah. untuk cara pemesanana silahkan kunjungartikel kami

Mengobati Kutil Pada Kelaminentu saja kita agak seram membayangkan hal ini jika terjadi pada kita, tapi setidaknya cara ini memang terbaik karena dilakuka dengan bersih dan efisien. untuk cara pemesanana silahkan kunjungartikel ini

Obat Kutil Di Kemaluan WanitaHal inilah yang menjadi penyebab kenapa akhirnya banyak penderita yang mencoba berbagai solusi pengobatan herbal dan semacamnya. untuk cara pemesanana silahkan kunjungklik disin

Artikel Lain


http://www.obatherbalkanker.ml/2016/02/obat-alami-kutil-di-kelamin.html

Md Anisuzzaman said...
This comment has been removed by the author.
Md Anisuzzaman said...

This is Great and very useful advice with in this post. Thank you.
Cybergraphix

Md Anisuzzaman said...

Great writing. I found some useful information in your blog. Thank you.
Zogo Medical

Robinson Derek said...

It's pretty worth enough for me.

healthy food delivery dubai

Asim Ismail said...

Businessdirectory.pk is rapidly growing business directory covering businesses from all over Pakistan. We have more than 59000 records from Karachi, 32288 from Lahore, 13440 from Faisalabad and 11000 from Rawalpindi and Islamabad. Everyday more than a dozen people signup on businessdirectory.pk.

Asim Ismail said...

Businessdirectory.pk is rapidly growing business directory covering businesses from all over Pakistan. We have more than 59000 records from Karachi.

Weight loss Surgeon Dubai said...

Weight loss Surgeon Dubai


Dr. Rohit Kumar has the vast experience in the field of bariatric surgery. He has undergone training in laparoscopic bariatric surgery at Sir Ganga Ram Hospital.

Jennifer Lawrance said...

The blog is unique that’s providing the nice material. Please post more interesting articles here.
best nootropics stack

Anonymous said...

ETY CD6UYU

Tanvi Herbals said...

Herbal products and effective medicines for weight loss are 100% certified containing herbal ingredients which provide support for increasing metabolism and burn the extra body calories. Read More herbal medicine for weight loss

Beatrice Caleb said...

Thanks blog writer for this wonderful piece. Health is highly essential and finding a good piece of well written article is hard.

I would recommend your esteemed readers to check this post which they will all find very useful. It's well researched and nicely articulated.

http://newswebbd.com/hernia-types-causes-symptoms-treatments/

Regards Beatrice

Salauddin Ahmed said...

Melanopeel Skincare is dermatological grade Mandelic acid, Lactic acid and our special skin microneedle derma roller to clear acne and skin discolorations.http://melanopeel.com/

سعد said...


شركة الصفرات للتنظيف بالرياض
شركة تنظيف خزانات بالمدينة المنورة
التنظيف وارقاها علي الاطلاق