The U.S. Health Information Exchange Market A Comprehensive Guide to Market Dynamics, Technology             Vendors, and ...
Market Overview•   This study pertains to the following region:       United States       Over the period –           2012...
Scope of Study•    This study provides a roadmap for understanding health information exchange, i.e. the process of health...
Market Segmentation                            Health Information Exchange Market Segments                                ...
Potential Benefits and Advantages of Health InformationExchange  Enables coordination of patient care                     ...
Core and Value-Added HIE Services          Value-Added HIE Services                                       Medication Recon...
Key Market Drivers and Restraints                       Health Information Exchange Market: Key Drivers and Restraints, U....
Summary of Strategic Market Issues and Future Trends          1   Efforts to Ensure the Ongoing Viability of Public HIE Li...
ContactBritni MyersCorporate Communications  (210) 477-8481  britni.myers@frost.comN8A7-48                    9
The Frost & Sullivan StoryN8A7-48                      10
Global Perspective40+ Offices Monitoring for Opportunities and ChallengesN8A7-48                                          ...
Industry Convergence Comprehensive Industry Coverage Sparks Innovation Opportunities                                      ...
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The U.S. Health Information Exchange Market - A Comprehensive Guide to Market Dynamics, Technology Vendors, and Future Trends

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The U.S. Health Information Exchange Market - A Comprehensive Guide to Market Dynamics, Technology Vendors, and Future Trends

  1. The U.S. Health Information Exchange Market A Comprehensive Guide to Market Dynamics, Technology Vendors, and Future TrendsN8A7-48November 2012
  2. Market Overview• This study pertains to the following region: United States Over the period – 2012 to 2016• Health information exchange (HIE) refers to the electronic exchange of protected health information among multiple stakeholders and participants including healthcare providers, payers, public health organizations, state and local Health Information Exchange Organizations, federal government agencies, and patients.• HIE is a key component of the U.S. government’s drive to accelerate the use of health IT through the HITECH Act and Meaningful Use program. The U.S. government has allocated around $548 million in toward various HIE efforts at the state level. HIE is also essential to ensuring goals around improved quality, safety, access, and efficiency as stipulated by the Patient Protection and Affordable Care Act (ACA) and is a core competency for forming new delivery models like Accountable Care Organizations (ACOs.)• HIE entails many complexities related to privacy, security, accuracy, authorization, interoperability among disparate technical infrastructures, varying semantic standards, and other issues. The market is highly dynamic with a plurality of IT vendors providing services and solutions to both the private (enterprise) and public HIE market segments. Source: Frost & Sullivan analysis N8A7-48 2
  3. Scope of Study• This study provides a roadmap for understanding health information exchange, i.e. the process of health information exchange (the verb), health information exchange organizations (the noun), and applications and services that constitute health information exchange. We provide an in-depth overview of the technical aspects of health information exchange; review major government initiatives driving health information exchange efforts across the U.S.; define and describe the two major market segments, public and private, including technology solutions and services used within each market segment and sub-segment; discuss the overall competitive market structure including common business models and pricing approaches; and review key market considerations and strategic imperatives relevant to a variety of stakeholders, including IT vendors and providers involved in this market. We also provide brief profiles of 18 technology vendors serving the market.Products included in study• This study pertains only to health information exchange in the U.S.• The study primarily focuses on two key market segments for health information exchange--public, referring to federal, state, local and community health information exchange efforts and organizations and private, referring to health information exchange that is created, sponsored, and governed by a single entity or enterprise such as a hospital or integrated delivery network (IDN).Exclusions and Limitations• While this study describes a range of technology applications and services that are contained within many health information exchange platforms, such as master patient identifier, electronic health records, clinical decision support, analytics, e-prescribing, and others, we do not specifically address the separate markets for each of these applications and services.• As health information exchange is primarily a process that entails myriad technology applications and services, we do not size and forecast market revenues nor do we forecast market penetration due to the highly variable, dynamic, and evolving nature and meaning of health information exchange. Source: Frost & Sullivan analysis N8A7-48 3
  4. Market Segmentation Health Information Exchange Market Segments Public Private Federal/ Community/ State Provider/IDN National Local • Designed to • Organized and • Multiple independent • Created, sponsored, connect federal governed by states entities in urban or and governed by a agencies • Start up funds rural areas collectively single entity or • Government provided by get together to share enterprise (e.g., funding and government grants information (e.g., hospital, IDN) governance • Connects to RHIOs RHIO) • Connects with and private HIE State HIEs, RHIOs, private HIE • Encompasses NwHIN Source: Frost & Sullivan analysisN8A7-48 4
  5. Potential Benefits and Advantages of Health InformationExchange Enables coordination of patient care Ensures cost savings from fewer across disperse settings redundant procedures and tests Reduces unnecessary hospital Drives patient engagement and admissisions due to closer health awareness coordination and monitoring Empowers users with key Improves the quality and HEALTH INFORMATION EXCHANGE knowledge for effective safety of patient care decision making Promotes operational and cost Facilitates a uniform and multi- efficiencies and workflow dimensional view of patient enhancements and population data Connects key data needed for Creates a rich soure of data for clinical and syndromic surveillance clinical trials and outcomes research Source: Frost & Sullivan analysisN8A7-48 5
  6. Core and Value-Added HIE Services Value-Added HIE Services Medication Reconciliation Care Coordination Certified Physician Order Entry Administrative Services EHR-lite Patient Engagement ePrescribing Quality Reporting Master Patient Index Clinical Data Repository Core HIE Services Master Provider Index Longitudinal Patient Record View Record Locator Services HIE to HIE Interoperability Clinical Messaging HIE-Related Meaningful Use support Source: eHealth Initiative, Thomson Reuters, and Frost & SullivanN8A7-48 6
  7. Key Market Drivers and Restraints Health Information Exchange Market: Key Drivers and Restraints, U.S., 2013-2016 1-2 Years 3 Years 4 Years Growing Provider ConsolidationDrivers Increased Adoption of EHRs and Progressive Meaningful Use Requirements Need to Improve Cost and Operational Efficiencies Preparation for Accountable Care and Value-Based Purchasing Lack of Uniform Goals and Strategic Vision Uncertainty and Confusion about Overall Market DirectionRestraints High Costs and Lack of ROI Competing IT Priorities and Time Constraints Fear of Losing Competitive Market Advantage Impact: High Medium Low Source: Frost & Sullivan analysis N8A7-48 7
  8. Summary of Strategic Market Issues and Future Trends 1 Efforts to Ensure the Ongoing Viability of Public HIE Likely To Increase The Drive for Greater Information Transparency Will Continue to Challenge 2 Privacy Concerns The Move to Accountable Care Will Mostly Benefit Private HIEs in the Short 3 Term 4 The Growth of Cloud and Mobile HIE Will Accelerate Significantly Innovation in Providing Value-Added HIE Services Will be the Key Competitive 5 Differentiator Source: Frost & Sullivan analysisN8A7-48 8
  9. ContactBritni MyersCorporate Communications (210) 477-8481 britni.myers@frost.comN8A7-48 9
  10. The Frost & Sullivan StoryN8A7-48 10
  11. Global Perspective40+ Offices Monitoring for Opportunities and ChallengesN8A7-48 11
  12. Industry Convergence Comprehensive Industry Coverage Sparks Innovation Opportunities Automotive & Transportation Aerospace & Defense Measurement & Consumer Information & Instrumentation Technologies Communication Technologies Automotive Energy & Power Environment & Building HealthcareTransportation & Logistics Systems Technologies Minerals & Mining Chemicals, Materials Electronics & Industrial Automation & Food Security & Process Control N8A7-48 12

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