Occams Business
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http://www.marketresearch.com/Occams‐Business‐Research‐Consultancy‐v4040/Publisher Sample
CLOUD MARKET IN HEALTHCARE TECHNOLOGIES
EHR Market, Digital Pathology Market, Clinical, EMR, SaaS, Bioinformatics,
Digital Pathology, Hybrid Market
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TABLE OF CONTENTS
1.
EXECUTIVE SUMMARY
2.
MARKET OVERVIEW
2.1.
MARKET DEFINITIONS
2.2.
RECENT INNOVATIONS AND CLINICAL TRIALS
2.3.
KEY BUYING CRITERIA
2.4.
END USER ANALYSIS
2.5.
KEY FINDINGS
2.6.
STRATEGIC RECOMMENDATION
2.7.
REGULATORY SCENARIO FOR HEALTHCARE ENVIRONMENT
3.
COMPETITIVE ANALYSIS
3.1.
MARKET SHARE ANALYSIS
3.2.
KEY MARKET STRATEGY
4.
MARKET DETERMINANTS
4.1.
MARKET DRIVERS
4.2.
MARKET RESTRAINTS
4.3.
MARKET OPPORTUNITIES
4.4.
MARKET CHALLENGES
5.
SECTOR ANALYSIS
5.1.
HEALTHCARE INFORMATION SYSTEM- CONVENTIONAL VERSUS CLOUD
BASED PLATFORM
6.
MARKET SEGMENTATION
6.1.
EHR MARKET
6.1.1. EHR VENDORS 6.1.2. EHR SOFTWARES 6.1.3. EHR SYSTEMS6.2.
DIGITAL PATHOLOGY
6.3.
CLINICAL INFORMATION SYSTEM
6.3.1. ELECTRONIC MEDICAL RECORDER 6.3.2. LABORATORY INFORMATION SYSTEM 6.3.3. PHARMACY INFORMATION SYSTEM
6.3.4. PICTURE ARCHIVING AND COMMUNICATION SYSTEM
6.4.
CLOUD BASED BIOINFORMATICS MARKET
6.5.
CLOUD BASED HEALTHCARE APPLICATION MARKET, BY DEPLOYMENT
MODEL
6.5.1. PUBLIC 6.5.2. PRIVATE 6.5.3. HYBRID
6.6.
CLOUD BASED HEALTHCARE APPLICATION MARKET, BY SERVICE MODEL
6.6.1. SAAS 6.6.2. PAAS 6.6.3. IAAS
7.
GEOGRAPHY ANALYSIS
7.1.
NORTH AMERICA
7.1.1. USA7.2.
EUROPE
7.2.1. UK 7.2.2. FRANCE 7.2.3. GERMANY 7.2.4. ITALY 7.2.5. SPAIN 7.2.6. ROE7.3.
ASIA PACIFIC
7.3.1. CHINA 7.3.2. JAPAN 7.3.3. INDIA 7.3.4. AUSTRALIA 7.3.5. ROAPAC7.4.
LATIN AMERICA
7.4.1. BRAZIL 7.4.2. MEXICO 7.4.3. ARGENTINA 7.4.4. ROLA7.5.
ROW
8.
CORPORATE PROFILING
8.1
MICROSOFT
8.2
QUALCOMM LIFE
8.3
PHILLIPS
8.4
SALESFORCE INC.
8.5
VERIZON
8.6
AT &T
8.7
AMAZON WEB SERVICES
8.8
ORACLE
8.9
IBM
8.10
AKAMAI
8.11
GNAX
8.12
VMWARE
8.13
ACCENTURE
8.14
ASIGRA
8.15
CARPATHIA INC
8.16
ATHENAHEALTH INC.
8.17
CARESTREAM HEALTH INC.
8.18
DELL INC.
8.19
HP
8.20
CLEAR DATA NETWORKS INC.
8.21
CARE CLOUD CORPORATION
8.22
MERGE HEALTHCARE INC.
8.23
NETGAIN TECHNOLOGY INC.
8.24
CLOUDERA
8.25
TCS
8.26
NET SUITE
8.27
RACKSPACE
8.28
REDHAT
8.29
CITRIX SYSTEMS
TABLE LIST
TABLE 1 GLOBAL HEALTH CARE INFORMATION SYSTEM MARKET BY GEOGRAPHY TABLE 2 GLOBAL EHR MARKET BY TYPE
TABLE 3 GLOBAL EHR MARKET BY GEOGRAPHY TABLE 4 NORTH AMERICA EHR MARKET
TABLE 5 ASIA PACIFIC EHR MARKET TABLE 6 EUROPE EHR MARKET TABLE 7 ROW EHR MARKET
TABLE 8 GLOBAL DIGITAL PATHOLOGY MARKET BY GEOGRAPHY TABLE 9 NORTH AMERICA DIGITAL PATHOLOGY MARKET
TABLE 10 ASIA PACIFIC DIGITAL PATHOLOGY MARKET TABLE 11 EUROPE DIGITAL PATHOLOGY MARKET TABLE 12 ROW DIGITAL PATHOLOGY MARKET
TABLE 13 GLOBAL CLINICAL INFORMATION SYSTEM MARKET BY TYPE TABLE 14 GLOBAL CLINICAL INFORMATION SYSTEM MARKET BY TYPE TABLE 15 NORTH AMERICA CLINICAL INFORMATION SYSTEM MARKET TABLE 16 ASIA PACIFIC CLINICAL INFORMATION SYSTEM MARKET TABLE 17 EUROPE CLINICAL INFORMATION SYSTEM MARKET TABLE 18 ROW CLINICAL INFORMATION SYSTEM MARKET
TABLE 19 GLOBAL CLOUD BASED BIOINFORMATICS MARKET BY GEOGRAPHY TABLE 20 NORTH AMERICA CLOUD BASED BIOINFORMATICS MARKET TABLE 21 ASIA PACIFIC CLOUD BASED BIOINFORMATICS MARKET TABLE 22 EUROPE CLOUD BASED BIOINFORMATICS MARKET TABLE 23 ROW CLOUD BASED BIOINFORMATICS MARKET
TABLE 24 CLOUD BASED HEALTHCARE APPLICATION MARKET BY DEPLOYMENT MODEL TABLE 25 CLOUD BASED HEALTHCARE APPLICATION MARKET BY SERVICE MODEL TABLE 26 CLOUD BASED HEALTHCARE APPLICATION MARKET BY GEOGRAPHY
FIGURES LIST
FIGURE 1 GLOBAL HEALTH CARE INFORMATION SYSTEM MARKET BY REVENUE FIGURE 2 GLOBAL EHR MARKET BY REVENUE
FIGURE 3 GLOBAL DIGITAL PATHOLOGY MARKET BY REVENUE
FIGURE 4 GLOBAL CLINICAL INFORMATION SYSTEM MARKET BY REVENUE FIGURE 5 GLOBAL CLOUD BASED BIO INFORMATICS MARKET BY REVENUE
FIGURE 6 CLOUD BASED HEALTHCARE APPLICATION MARKET BY DEPLOYMENT MODEL FIGURE 7 CLOUD BASED HEALTHCARE APPLICATION MARKET BY SERVICE MODEL FIGURE 8 CLOUD BASED HEALTHCARE APPLICATION MARKET BY GEOGRAPHY FIGURE 9 GLOBAL EHR MARKET BY TYPE
FIGURE 10 EHR SOFTWARE MARKET BY REVENUE FIGURE 11 EHR SYSTEMS MARKET BY REVENUE
FIGURE 12 ELECTRONIC MEDICAL RECORDER MARKET BY REVENUE FIGURE 13 LIBRARY INFORMATION SYSTEM MARKET BY REVENUE FIGURE 14 PHARMACY INFORMATION SYSTEM MARKET BY REVENUE
FIGURE 15 PICTURE ARCHIVING AND COMMUNICATION SYSTEM MARKET BY REVENUE FIGURE 16 RADIOLOGY INFORMATION SYSTEM BY REVENUE
Chap# 1. MARKET OVERVIEW
Healthcare sector is one of the most dynamic sectors. Healthcare companies are looking to integrate and adopt IT to achieve greater business agility by increasing adaptability and achieving cost efficiency to enable focus on consumer needs and patient care. As consumers become tech savvy they demand a higher level of interaction – such as instant online access to information, products and services through their desktops and mobile devices. However, the traditional IT systems are struggling to meet these challenges and increase system effectiveness. Cloud companies can exploit these opportunities in the healthcare sector. For instance, a recent development is cloud-based medical imaging and information management solutions that enable healthcare professionals to view and interpret patient images such as X-rays, CT scans, and MRI scans simultaneously. This significantly reduces the long-term technology cost and increases the speed of patient care management.
FIGURE # 1
GLOBAL HEALTHCARE CLOUD MARKET IN $BILLION (2013-2020)
Source: OBRC Analysis
FIGURE # 2
GLOBAL CLOUD HEALTHCARE APPLICATION MARKET.
BY SERVICE MODELS (%) IN 2013
Source: OBRC Analysis
The report segments the global healthcare cloud market by cloud service models. Software as a service dominates the market with highest market share. However, PaaS is the fastest growing segment during the forecasted period (2014-2020). Among the deployment models most of the healthcare organizations are using Private cloud due to security concerns. However, Hybrid cloud will be the supreme choice in the coming years.
On the basis of Cloud Applications in Healthcare the market is segmented as Electronic Health Records, Clinical Information System, Digital Pathalogy, and Cloud based Bio Informatics. Currently the market is dominated by cloud based EHR services. However, cloud based Digital Pathalogy is the fastest growing market.
FIGURE # 3
GLOBAL CLOUD HEALTHCARE APPLICATION MARKET,
BY SERVICE MODELS (%) IN 2013
Source: OBRC Analysis
65.00% 27.00% 8.00% Saas Iaas Paas 45% 20% 20% 15% EHR Digital Pathalogy
Clinical Information System Cloud based bioinformatics Market
Chap# 2. REGULATORY COMPLIANCES FOR
HEALTHCARE CLOUD
Cloud computing is being promoted as a potential solution to improve health service delivery, although a number of challenges need to be overcome. However, a key challenge for international governments keen to promote cloud computing in healthcare is to provide an effective legal and regulatory framework which governs trans-border (patient) data flows. Patient data privacy and security is a serious concern for policy-makers.
# 2.1.
NORTH AMERICA
HIPPA Act -1996
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 (“HITECH”), protects “individually identifiable health information,” which the rule calls “protected health information,” or “PHI.” Entities that are obligated to comply with HIPAA are often particularly concerned with the obligation to report HIPAA breaches and the associated potential harm to their reputations. These reporting obligations create powerful incentives for organizations to implement systems and processes to reduce risk.
Health Information Technology for Economic and Clinical Health
(HITECH) Act
The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law in February 2009. It promotes the adoption and meaningful use of health information technology. The HITECH Act addresses the privacy and security concerns associated with the electronic transmission of health information, partly through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules. The act stipulates that, as of 2011, healthcare providers will be offered financial incentives for demonstrating meaningful use of electronic health records (EHRs). Incentives will be offered until 2015. After that point, penalties may be charged for failing to demonstrate such use. The act also established grants for training centers for the personnel required to support a health IT infrastructure.
# 2.2.
EUROPE
The European Union has the Data Protection Directive (95/46). This regulates the processing of personal data across 28 Member States. It is an important part of EU privacy and human rights law (European Commission, 2013). Data protection is enshrined in the Treaty on the functioning of the EU where personal data protection is the right of all citizens. The Directive was adopted to harmonize national provisions on the protection of individuals in the processing and free movement of personal data. In 2010, a communication adopted by the European Commission discussed the new challenges for personal data protection in the context of cross-border data flows. In 2012, a draft European General Data Protection Regulation was unveiled to supersede the Data Protection Directive. The comprehensive revision of the Directive was launched to address key aspects of processing personal health data, to ensure privacy for patients, and to enable the EU to meet the other legitimate objectives in the Treaties, including more robust health data protection.
# 2.2.1.
AUSTRALIA
Base Law Description
Data Privacy The Privacy Act 1988
The Privacy Act 1988 (Cth) requires private-sector organizations to comply either with the Australian Privacy Principles or an industry code formally approved by the regulator in their collection, use, disclosure, and handling of an individual’s personal information. The legislation was heavily amended in 2012, resulting in increased penalties and a wider range of powers for the regulator.
Data Security The Federal Electronic Transactions Act 1999
The federal Electronic Transactions Act 1999 (Cth)
recognizes and enforces electronic signatures. Similar laws are in place at the state level. These laws are being amended to align the electronic signature requirements with the UN Convention on the Use of Electronic Communications in International Contracts 2005, a process that is nearly complete
Cyber Crime The Cybercrime
Act 2001
The Cybercrime Act 2001 (Cth) commenced on April 1, 2002. It made a range of amendments to the Criminal Code in order to update the list of computer offenses. These offenses are comprehensive Intellectual Property Right Copyright Act 1968
The right is set out in Section 31 of the Copyright Act 1968 (Cth) and the infringement is set out in Section 36
Base Law Description Industry Standards Support UNCITRAL Model Law on E-Commerce
Australian law is based on the Model Law on E-Commerce but the government plans to sign the UN Convention on Electronic Contracting and is in the process of amending laws to align with the Convention text. This task is almost
complete with only one state jurisdiction’s laws requiring amendment
Chap# 3. MARKET DETERMINANTS
# 3.1.
MARKET DRIVERS
There has been a surge of interest of the healthcare companies in adoption of cloud computing. Companies are leveraging cloud providers for its various benefits such as providing business agility, reducing cost, and so on. The major drivers are-
# 3.2.
CLOUD COMPUTING A PARADIGM SHIFT IN HEALTHCARE IT –
Cloud Computing enables the Healthcare IT to focus less on the management of physical assets and more on delivering better services to patients, physicians, ambulatory care providers, and public health organizations. It provides ability to scale application workloads, share information across the departments, and ensure the security and availability of the patient information as and when needed. Cloud also enables the development of effective administrative systems in the hospitals with efficient clinical workflows by automating the process and consolidating the available IT resources. Moreover, cloud enable the better management of IT budgets of the hospitals thereby allowing them to focus more on core investment area.
# 3.2.1.
BUSINESS AGILITY IN HEALTHCARE SEGMENT
The ability of an organization to adapt rapidly and economically to the changes in its environment is known as business agility. Healthcare services have now become more data driven and are required to maintain huge data for which increased IT services and infrastructure are needed. There is a constant increase in adoption of electronic medical records (EMR), electronic health records (EHR), personal health records (PHR) and technologies related to integrated care, patient safety and clinical records as they are cost effective, manageable, require less in house IT infrastructure and lead to delivering quality healthcare services Cloud computing allows organizations to adapt this business model quickly and cost effectively and connect and share information more flexibly across the value chain. Many pharmaceutical companies are using cloud services to improve research and drug development. For instance Accenture announced the launch of ‘Accenture Life Sciences cloud for R&D’ which is a part of Accenture Accelerated R&D Services that focuses on building more efficient and effective R&D models. Along with this, Accenture has formed a ‘Life Sciences Cloud Coalition’ with Eisai, Merck and Pfizer to come together and determine the future developments and evolution of the platform. Leading companies like Lily launched a 64 computer system cluster to work on bioinformatic sequence information. Using cloud computing service the firm executed the project in 20 minutes at the cost of $6.40. Had they
done the same project internally, they would have to install and qualify 64 machine cluster and run it for 12 weeks. Also hospitals and physicians are using cloud services to store medical data and share data in various geographies.
# 3.2.2.
SHIFT OF HEALTHCARE FROM CLINIC TO HOME
Cloud computing has introduced new prospects for hospitals to provide better care at lower costs to the patients through online consultations and virtual visits. This proves to be a cost effective and less time consuming method for patients as well as physicians. In the future it is expected that through cloud solutions, healthcare providers can place diagnostic devices in patient’s home which are linked to the cloud platforms and could be monitored continually with applications such as online videos and medical assistance by doctors and healthcare professionals through virtual visits
# 3.3.
CASE STUDY
Fairview Health Services, a Minneapolis based company running 10 hospitals and 48 clinics, has a cloud based communications platform that enables its physicians to have virtual video visits with patients and also schedule follow up visits. It also provides online consultations for patients who are unable to visit the clinic. This reduces the need for physicians and patients to travel and conduct face to face consultations reducing administrative and property costs thus providing better healthcare at lower costs. The system is secured with encrypted communications and in compliance with the HIPAA.
# 3.3.1.
NEED FOR HEALTHCARE ORGANIZATIONS TO STORE BIG
DATA
The need for healthcare organizations to store huge medical data at low operating costs serves as a major driver for cloud computing industry. Cloud services are very reasonable and also allow organizations to centrally manage patient data. For researchers and scientists, cloud computing turns out to be the most feasible storage options as the genome or drug modeling data sets are very bulky and expensive to store and this makes sharing of such data extremely difficult for researchers. Due to nanoscale and microfluidic technologies, DNA can be monitored by photographic sensors that could generate images upto 800 gigabytes in size. DNA sequencing and gene profiling generate massive amounts of data very rapidly. Cloud computing enables consolidation and simple sharing of the data within individual organizations or multi firm projects. Hospitals also need to store huge amount of data for which cloud services are used and many big
health issues(excluding images).this data could go upto 3-5 GB (including images) for a person with many health issues.
# 3.3.2.
GOVERNMENT INCENTIVES TO RAISE ADOPTION OF NEW
TECHNOLOGIES
Government funding acts as a major driver for adoption of cloud computing in healthcare industry. In many developed countries the governments are promoting EHR and EMR in hospitals to encourage better care and facilities for patients and physicians both. Government funds are a huge support to hospitals struggling to implement EMR projects due to shortage of funds. The Federal Government has introduced a ‘Meaningful Use’ program as per the 2009 HITECH Act (Health Information Technology for Economic and Clinical Health) which provides monetary incentives based on the adoption, implementation rate and security of EHRs. CMS (Centers for Medicare and Medicaid Services) grants payments to Eligible Professionals (EPs) and Eligible Hospitals (EHs) that intend to work towards adopting and implementing certified EHR technology. These payments range from $44,000 over 5 years for Medicare providers and $63,750 over 6 years for Medicaide providers (Starting in 2011). Although the program is totally voluntary, if the EPs or EHs fail to join in by 2015 there will be negative adjustments to their Medicare/Medicaide fees starting at 1%reduction to 3% reduction by 2017 and beyond. The Australian government has also granted a sum of $450 million for implementation of national EHR programs.
# 3.3.3.
HEALTH CARE IT INVESTMENTS ARE SOARING -
Investors worldwide are showing keen interest in Healthcare IT. Moreover, the various technological innovations in healthcare have a huge potential to drive the growth of Healthcare IT. For instance, Xerox’s unprecedented investment in telemedicine company Health Spot, which plans to install its kiosks not just at medical facilities but also at big companies; and pharmaceutical giant Novartis AG’s growing interest in wearable technologies that can track the effectiveness of its drugs.
FIGURE # 4
HOSPITALS IT INVESTMENT PRIORITY RATINGS(0-5 SCALE)
IN 2013
Source: OBRC Analysis
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5
EHR Personal Health Records
Digital Imaging E- prescribing systems Emergency depart. Information system Clinical decision support Pharmacy systems Telehealth Health information exchanges Laboratory systems Mobile health technologies Real-time location systems
Chap# 4. SAMPLE MARKET ESTIMATIONS TABLE -
TABLE # 1
CLOUD BASED HEALTHCARE APPLICATION MARKET
BY DEPLOYMENT MODEL IN $BILLION (2013-2020)
Deployment Model 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% Public Private Hybrid Total
Source: OBRC Analysis
TABLE # 2
CLOUD BASED HEALTHCARE APPLICATION MARKET
BY DEPLOYMENT MODEL IN $BILLION (2013-2020)
Service Model 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR%
SaaS
PaaS
IaaS
Total
TABLE # 3
CLOUD HEALTHCARE MARKET BY APPLICATIONS IN
$BILLION (2013-2020)
Applications 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% EHR Digital Pathalogy Clinical Information System Cloud based bioinformatics MarketSource: OBRC Analysis
TABLE # 4
CLOUD HEALTHCARE MARKET BY GEOGRAPHY IN $BILLION
(2013-2020)
Geography 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% North America Latin America Asia Pacific Europe ROW TotalTABLE # 5
NORTH AMERICA CLOUD HEALTHCARE MARKET BY REGION IN
$BILLION (2013-2020)
Region 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% U.S. Canada RoNA TotalSource: OBRC Analysis
TABLE # 6
LATIN AMERICA CLOUD HEALTHCARE MARKET BY REGION IN
$BILLION (2013-2020)
Region 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% Brazil Mexico Argentina RoLA TotalTABLE # 7
ASIA PACIFIC CLOUD HEALTHCARE MARKET BY REGION IN
$BILLION (2013-2020)
Region 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% India China Japan Australia ASEAN TotalSource: OBRC Analysis
TABLE # 8
TABLE: EUROPE CLOUD HEALTHCARE MARKET BY REGION IN
$BILLION (2013-2020)
Region 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% UK France Germany Italy Spain RoE TotalTABLE # 9
ROW CLOUD HEALTHCARE MARKET BY REGION IN $BILLION
(2013-2020)
Region 2013 2014 2015 2016 2017 2018 2019 2020 (2014-2020) CAGR% Middle East North Africa Others TotalDISCLAIMER:
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