MARKET OVERVIEW
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MARKET OVERVIEW

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MARKET OVERVIEW MARKET OVERVIEW Presentation Transcript

  • MARKET OVERVIEW Hospital Cardiology PACS Applications 2006 Year End Report 1 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • CPACS Installation Summary Have signed a contract for CPACS Plan to Purchase CPACS but have not yet for the First Time installed the system 2% 3% Cardiology PACS (CPACS) CPACS System Installed has not 16% achieved rapid adoption in the market at this point in time. Not Automated 80% 2 N = 5,082 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • CPACS Installation Summary By Number of Beds 4% Larger hospitals are more 22% CPACS Contracted 32% likely to have CPACS or Installed 33% installed. While hospitals 46% across all bed size 46% segments are equally likely 1% to purchase this software, 3% hospitals with 200 to 299 No CPACS/Plans to 5% 4% beds are most likely to Purchase 3% purchase this technology. 1% 95% 78% No CPACS/No 64% Plans 62% 51% Under 100 Beds 53% 100 to 199 Beds 200 to 299 Beds 300 to 399 Beds 400 to 499 Beds 3 500or More Beds N = 4,017 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • CPACS Installation Summary By Number of Imaging Procedures Hospitals that do between 25,000 and 99,999 are 22% most likely to have an CPACS Contracted 57% installed CPACS system. or Installed 57% However, hospitals that do 40% 100,000 or more imaging procedures are, by 4% percentage, most likely to No CPACS/Plans to 2% purchase this technology in Purchase 0% the future. 10% 74% No CPACS/ No 41% Plans 43% 50% Under 25,000 25,000 to 49,999 50,000 to 99,999 100,000 or More 4 N = 1,159 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • CPACS Installation Summary Temporal Summary of Installations and Contracts 1998 or earlier 4% Approximately two-thirds of contracts for CPACS systems 1999 or 2000 6% have been signed in the past three years. 2001 5% 2002 7% 2003 14% 2004 25% 2005 30% 2006 9% 5 N = 467 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • CPACS Installation Summary Overall 2005/2006 Data The installation rate for 12% CPACS has increased Automated seven percent in the past 19% year. The percent of hospitals that have signed a contract for 3% CPACS technology has Signed first also increased slightly contract 4% since 2005. 84% Not automated 77% 2005 2006 6 N = 3,948 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • CPACS Installation Summary Status of Not Automated Hospitals in 2005 CPACS installed 11% Among the hospitals that did not report having CPACS in 2005, 11 percent have installed the technology in the past year and Signed first contract 2% another two percent have signed an initial contract. Another three percent plan to purchase the technology in the next year. Plan to purchase software 3% Not automated 84% 2004 7 N = 3,323 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Installation Rate of CPACS Modalities Cath Lab 15% The cath lab and Echocardiology 14% echocardiology modalities are the most widely used CPACS modalities. CT 10% Intravascular 9% Ultrasound Nuclear 9% Cardiology 8 N = 5,082 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Number of Modalities Installed One 22.37% Among those hospitals that have Two 18.83% installed CPACS technology, nearly 40 percent are installing five modalities of CPACS. However, a nearly equal percentage are implementing only one Three 14.51% or two modalities. Four 7.86% Five 36.43% 9 N = 903 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Number of Modalities Installed By Number of Beds 94% 77% 67% None 65% 52% 51% 4% 11% 20% Larger hospitals are more likely One to Three 21% 25% than smaller hospitals to have a 24% full range of CPACS modalities 2% installed at this time. 11% 14% Four to Five 14% 23% 25% 500 or More Beds 400 to 499 Beds 300 to 399 Beds 200 to 299 Beds 100 to 199 Beds Under 100 Beds 10 N = 4,016 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Number of Modalities Installed By Number of Imaging Procedures 77% 40% None 43% Hospitals that perform 60% 50,000 99,999 imaging procedures 13% are more likely to 31% have four to five One to Three CPACS modalities 21% installed. 40% 10% 29% Under 25,000 Four to Five 36% 25,000 to 49,999 50,000 to 99,999 0% 100,000 or More 11 N = 1,104 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Summary of Installations 329 hospitals (6 percent) have installed software or have signed a contract for software for all five cardiology PACS modalities. 4,179 hospitals (83 percent) do not use cardiology PACS software. The remaining 574 hospitals (11 percent) use software for several, but not all, modalities in cardiology areas defined in this report. 12 N = 5,082 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed and Contracted Systems Vendor # of Installations % of Market PHILIPS MEDICAL SYSTEMS 287 26.72% GE HEALTHCARE 235 21.88% AGFA-GEVAERT 165 15.36% EMAGEON 93 8.66% SIEMENS MEDICAL SOLUTIONS 91 8.47% MCKESSON PROVIDER TECHNOLOGIES 77 7.17% SCIMAGE, INC. 17 1.58% DR SYSTEMS, INC. 13 1.21% PROSOLV 11 1.02% LUDMEDX CORPORATION 9 0.84% 10 Vendors and multiple not reported vendors share the remaining 7.08% of the market. 13 N = 1,074 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Under100 Beds Vendor # of Installations % of Market GE HEALTHCARE 26 23.01% AGFA-GEVAERT 24 21.24% PHILIPS MEDICAL SYSTEMS 20 17.70% SIEMENS MEDICAL SOLUTIONS 8 7.08% EMAGEON 8 7.08% MCKESSON PROVIDER TECHNOLOGIES 7 6.19% PROSOLV 4 3.54% AMICAS 4 3.54% SCIMAGE, INC. 3 2.65% DR SYSTEMS, INC. 1 0.88 % 1 Vendor and multiple not reported vendors share the remaining 7.08% of the market. 14 N = 113 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals 100-199 Beds Vendor # of Installations % of Market PHILIPS MEDICAL SYSTEMS 61 25.10% GE HEALTHCARE 57 23.46% AGFA-GEVAERT 44 18.11% EMAGEON 17 7.00% MCKESSON PROVIDER TECHNOLOGIES 16 6.58% SIEMENS MEDICAL SOLUTIONS 16 6.58% DR SYSTEMS, INC. 5 2.06% SCIMAGE, INC. 3 1.23% LUDMEDX CORPORATION 2 0.82% PROSOLV 2 0.82% 5 Vendors and multiple not reported vendors share the remaining 8.23% of the market. 15 N = 243 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals 200-299 Beds Vendor # of Installations % of Market PHILIPS MEDICAL SYSTEMS 71 29.58% GE HEALTHCARE 52 21.67% EMAGEON 27 11.25% MCKESSON PROVIDER TECHNOLOGIES 22 9.17% AGFA-GEVAERT 20 8.33% SIEMENS MEDICAL SOLUTIONS 19 7.92% SCIMAGE, INC. 5 2.08% LUMEDX CORPORATION 4 1.67% DR SYSTEMS, INC. 3 1.25% PROSOLV 2 0.83 % 3 Vendors and multiple not reported vendors share the remaining 6.25% of the market. 16 N = 240 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals 300-399 Beds Vendor # of Installations % of Market PHILIPS MEDICAL SYSTEMS 52 28.73% GE HEALTHCARE 34 18.78% AGFA-GEVAERT 26 14.36% SIEMENS MEDICAL SOLUTIONS 20 11.05% EMAGEON 17 9.39% MCKESSON PROVIDER TECHNOLOGIES 14 7.73% SCIMAGE, INC. 2 1.10% OPTIMED TECHNOLOGIES, INC. 2 1.10% LUMEDX CORPORATION 2 1.10% DIGISONICS, INC. 1 0.55% 1 Vendor and multiple not reported vendors share the remaining 6.08% of the market. 17 N = 181 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market PHILIPS MEDICAL SYSTEMS 30 26.09% GE HEALTHCARE 30 26.09% AGFA-GEVAERT 17 14.78% MCKESSON PROVIDER TECHNOLOGIES 12 10.43% SIEMENS MEDICAL SOLUTIONS 11 9.57% EMAGEON 5 4.35% SCIMAGE, INC. 2 1.74% DR SYSTEMS, INC. 2 1.74% DYNAMIC IMAGING, INC. 1 0.87% PROSOLV 1 0.87% 1 Vendor and multiple not reported vendors share the remaining 3.48% of the market. 18 N = 115 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market PHILIPS MEDICAL SYSTEMS 53 29.12% GE HEALTHCARE 36 19.78% AGFA-GEVAERT 34 18.68% EMAGEON 19 10.44% SIEMENS MEDICAL SOLUTIONS 17 9.34% MCKESSON PROVIDER TECHNOLOGIES 6 3.30% SCIMAGE, INC. 2 1.10% PROSOLV 2 1.10% DR SYSTEMS, INC. 2 1.10% LUMEDX CORPORATION 1 0.55% 1 Vendor and multiple not reported vendors share the remaining 5.49% of the market. 19 N = 182 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Hospital Cardiology PACS Top Ten Vendors Considered for a Planned Purchase Vendor # of Times Considered GE HEALTHCARE 34 PHILIPS MEDICAL SYSTEMS 24 SIEMENS MEDICAL SOLUTIONS 19 AGFA-GEVAERT GROUP 18 MCKESSON PROVIDER TECHNOLOGIES 17 FUJIFILM MEDICAL SYSTEMS 4 LUMEDX CORPORATION 3 EMAGEON 2 DR SYSTEMS, INC. 2 AMICAS 1 20 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Plans to Purchase a CPACS System By Number of Beds Under 100 16% 100 to 199 26% 200 to 299 27% The majority of CPACS plans for purchase are expected to occur in 300 to 399 18% hospitals with fewer than 400 beds, with the 100 299 bed segment showing the most activity at this time. 400 to 499 8% 500 or more beds 5% 21 N = 104 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Planned Timeframe for Signing a Contract 6-12 Months 63% 12-18 Months 14% Over 60 percent of the hospitals that would like to sign a contract for CPACS technology anticipate that they will do so within the next 18-24 Months 13% six to 12 months. However, another 10 percent will defer this purchase for at least two years. Greater than 24 10% Months 22 N = 70 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Plans to Purchase Cardiology CPACS Modalities Cath Lab 1.75% There is no clear Echocardiology 1.65% leader for CPACS application modality Intravascular for planned purchases 1.42% at this time. Ultrasound CT 1.36% Nuclear 1.34% Cardiology 23 N = 5,082 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Summary Over three-quarters of hospitals do not have CPACS technology. The remaining hospitals either currently use, have contracted for or are planning to purchase CPACS technology. Larger hospitals are most likely to have an installed CPACS. Over eighty percent of contracts for CPACS technology have been signed since 2001. Four percent of the systems that have signed a contract for CPACS technology have not yet installed the software. The three-quarters of the organizations that plan to purchase CPACS technology plan to do so in the next two years. 24 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Summary Of the organizations that have an installed CPACS system, there is no clear trend regarding automating for multiple modalities. There is also no clear modality leader emerging. Most hospitals use a single CPACS vendor. GE Healthcare holds over 20 percent of the industry market share followed closely by Philips Medical Systems. They are also the top vendors being considered for future purchase. 25 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Market Analysis Most of the planned CPACS purchases are among smaller hospitals. GE Healthcare has more planned purchase indications than second mention Philips Medical Solutions and third mention McKesson Provider Technologies combined. Phillips, Siemens Medical Solutions, Agfa Gevaert, and McKesson Provider Technologies form a core of vendors that will continually compete for a top five position below GE Healthcare in this market. 26 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Market Analysis Approximately 20 percent of all US hospitals have contracted for, or installed a CPACS solution. Half of hospitals that perform over 100,000 radiology procedures have implemented a CPACS solution, while 50 percent of hospitals that perform 50,000 99,999 procedures have also installed a CPACS solution. About 40 percent of all hospitals over 400 beds have implemented a CPACS solution. The majority of CPACS contracting and implementation was done between 2003 and 2005, with 2004 and 2005 having the same implementation rates. 27 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Market Analysis There are two reasons that the CPACS market is not mirroring the adoption rates that have been experienced in the RPACS market: - CPACS images are digital and are not replacing a film based medium that will result in huge cost savings, like those experienced with RPACS. - Cardiology information systems (CIS) have not been implemented across the majority of the cardiology market, and if CIS applications serve as a foundation for CPACS, like RIS did for RPACS, then this will slow down the market adoption of CPACS. 28 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
  • Contact HIMSS Analytics Phone: 877-364-2500 Fax: 312-638-9401 Email: info@himssanalytics.org Web: www.himssanalytics.org 29 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics