This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms that do not offer complete hospital information systems. Revenue figures for 2015 are presented along with analysis of changes from 2014 revenue and notable trends among vendors. The review highlights new entrants athenaHealth and eClinicalWorks and notes several vendors that have been acquired or are no longer separately tracked. A breakdown of analysis for the top 10 vendors across large, mid-size and small hospital markets is outlined for upcoming segments.
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
How many patients does case series should have In comparison to case reports.pdfpubrica101
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Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
2. HIS-tory of Vendor Reviews
• If you’ve been reading the few print magazines in our industry
along with getting far more unvarnished insights from HIStalk,
you’ve probably followed our annual review of the leading HIS
vendors in order of their annual revenue for many years:
– Original credit for the idea must go to Bill Childs who created
this whole media when he started his Computers in Hospitals
magazine in 1980 with a whopping 52 page first issue.
• Bill’s magazines morphed & were renamed
many times over the years, and subsequent
rags expanded the vendor review from 25 to
100 vendors, in issues running 200+ pages.
• We’ve been continuing Bill’s tradition of HIS
vendor revenue reviews for about the past 20
years, recently listing it on HIStalk, the source
today for the latest HIS vendor information.
3. Definitions
• It’s important to define what one means by an “H.I.S.” vendor
since some HIT print rag’s rankings include billion-dollar firms in
their top 10 list like Optum, Dell, Cognizant, Phillips and Xerox,
that don’t really offer an H.I.S. system, which we define as:
- Hospital – acute care facilities are the primary
market, not “just” physician practices, managed
care, long term care, home health, PACS, etc.
- Information – the full suite of apps needed to
automate a hospital: both financial and clinical
systems. Thus, specialty vendor like Sunquest for
LIS and Oracle for ERP are excluded.
- Systems - the complete package of hardware,
software and implementation. This excludes
giants like Dell, CSC, IBM, Leidos, HP, etc, who
“only” offer hardware and/or consulting.
4. HIS Vendors Revenue for 2015
• We obtained the figures from year-end earning reports, SEC
filings (K-10s) or written communications received from the
vendors themselves. Estimates had to be made for only one
company that is privately held: QuadraMed/ N. Harris.
5. 2015 vs. 2014 Revenue
• This bar chart illustrates the increase/decrease in revenue per
vendor from last year, as well as the huge disparity in dollar size:
6. 2015 Revenue Shockers
• There are some surprises in this table that deserve highlighting:
- Cerner – forged way ahead of #2 McKesson for
the lead in the HIS industry by revenue for the
second year in a row, due mainly to the ≈$1.2B
they gained from Siemen’s largely remote-hosted
client base, the deal closed in February of 2015.
- McKesson, Meditech & Evident (CPSI) – actually
declined in revenue by ≈10% each, reflecting the
lack of HIS sales in this post-Meaningful Use market
when so many hospitals are reluctant to switch
systems again after costly upgrades for HITECH $s.
- Slow Growth – most other vendors showed little or
no revenue growth compared to previous years,
such as Allscripts, Medhost and QuadraMed.
7. Newbies
There is one new vendor in this year’s revenue review, and another
who will be in it shortly, that are well worth highlighting:
• athenaHealth – a huge physician practice vendor with ≈$1B in
revenue that entered the HIS market by acquiring small (mainly
CAH) hospital vendor RazorInsights (≈$2M in revenue) in 2015.
– RazorInsights = a modern cloud-based EMR with a solid &
integrated RCM, priced on an SaaS model, with ≈20 CAH
hospital clients, and the hottest demo booth at HIMSS.
– Athena also signed with Toledo Medical Center, a 200 bed
AMC, as a pilot site for their new integrated HIS/MD system.
• eClinicalWorks – also claims an integrated HIS is “in the works:”
– They claim ≈80 hospitals in India are are already using the
EMR from their extremely popular physician practice system
in the US, with an integrated “total HIS” being developed…
8. MIA!?
• Several HIS vendors are dropped since last year’s HIS vendor list:
– Siemens/SMS - the leader in HIS revenue for decades before
being acquired by Siemens circa Y2K, & then Cerner last year.
– GE – this tech giant is a massive player in the physician
practice and ancillary department (eg: OB) market niches, but
their few remaining HIS clients on the ex-IDX “Centricity”
HIS/EMR represent such a tiny slice of their total revenue,
they will be covered when we review MD practice vendors
next.
– Healthland – this small hospital (<100 beds) giant with over
350 hospital clients on their aging “Classic” and modern
“Centriq” systems was acquired by Evident (CPSI) this year.
– NextGen – acquired the Opus hospital EMR and Sphere
financials (RCM and ERP) several years ago, but couldn’t sell
the interfaced systems, and sold out to QuadraMed in 2015.
9. 20 Years of HIS Vendor Revenue
Here’s two decades worth of revenue for today’s leading vendors:
10. Next 3 Weeks
• We’ll delve into the details of the 10 vendors’ performance over
the next 3 episodes of the HIS review, broken down by the three
major HIS market segments (in terms of beds and revenue):
– Large – those vendors whose derive the majority of their
revenue from large hospitals over 300 beds in size, including
large AMCs & Multi-IDNS: Cerner, Epic, & Allscripts.
– Mid-Size – vendors whose target market includes mainly mid-
size hospitals of 100 to 300 beds in size, including Meditech
(all 3!), Paragon, NTT Data, QuadraMed & Medhost.
– Small – vendors whose client base consists of mostly under
100 bed facilities, including CAH (Critical Access Hospitals) of
under 25 beds, where Evident (CPSI) is the leader.
• For questions, comments, or legal action, please contact us at:
vciotti@hispros.com, 505.466.4958 or spouzar@hispros.com, 407.321.1110