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EMR

An Electronic Medical Record (EMR) is the digital version of paper-based medical record.

EMR Market

According to a new market report published by Transparency Market Research “Electronic Health Records Market – Global Industry Analysis, Size, Share, Growth, Trends, and Forecast 2015 – 2023” the global EHR market was valued at US$18.93 bn in 2014 and is expected to grow at a CAGR of 5.4% from 2015 to 2023, to reach an estimated value of US$30.28 bn by 2023.

Benefits of adopting EHR Systems Propel Growth of Electronic Health Records Market

Effective implementation of EMR helps in reducing administrative overheads that may add up to the bottom line profits for healthcare providers. In addition to this, it may result in increased revenue through effective utilization of resources, resulting in greater number of patients being attended to. However, the lack of standards for development of EMR solutions has resulted in a number of EMR solutions in the market that lack integration and interoperability among themselves.

EMR solutions help to achieve paperless administration across the healthcare industry. This form of administration facilitates creation of a centralized patient repository. The records generated through successful implementation of EMRs in healthcare practices can be used for various purposes such as patient care, administration, research, healthcare quality improvement, and processing of reimbursements. EMR is a part of healthcare information technology that is used to make paperless computerized patient data in order to increase efficiency of hospital systems and reduce chances of errors in medical records. A substantial growth rate (more than 16%) of the U.S. healthcare IT spending and the government initiatives towards development of a nationwide healthcare information network are expected to push EMR implementation across the healthcare sector in the U.S. As per a study by Harvard Medical School in 2008, administrative automation may result in saving 5% of the total healthcare spending or $100 billion in the U.S. by reducing adverse events such as adverse drug events, medical errors, and complications of interventions including hospital acquired infections. Similarly, overuse of emergency departments and unnecessary ordering of clinical and radiology tests result in loss of $55 billion, which could be saved by implementation of EMR systems at healthcare practices.

EMR helps to improve clinical efficiency in the following ways:

Providing improved accessibility to patient records

Improved communication between provider and clinical departments such as pharmacy, laboratory, and radiology departments

Improved communication among healthcare facilities

Reduced transcription cost and lesser number of chart pulls

Improved clinical decision making through CDSS functions

The rising demand for the healthcare cost containment and need to improve the quality of healthcare service are driving the growth of the EMR market in the U.S. The U.S. EMR market is expected to grow from $2,177 million in 2009 to $6,054 million in 2015 at an estimated CAGR of 18.1% during the forecast period 2010-2015.

Same time it is potential for growth for the ambulatory EHR market, particularly as ambulatory providers increasing adopt health IT due to meaningful use (MU) incentives and in response to ongoing healthcare reform, according to a report from Frost & Sullivan.

The report forecasts that the ambulatory EHR market will expand by 30 percent by 2020, increasing at a compound annual growth rate of 5.3 percent in the next five years.

Though large-sized healthcare practices prefer on-site/client-server based EMR systems, web-based EMR solutions or ASP models are gaining higher popularity within the small sized healthcare practices and private physician offices.

The U.S. EMR market space is highly fragmented with more than 1000 players in the market. In 2010, Allscripts emerged as a market leader with 15.7% market share in the physician office EMR market; whereas Meditech led the hospital EMR segment with an overall market share of 24.9%.

Continued gains have been made in physician adoption in EMR systems since early 2015. CMS’s recent survey shows over 70% of physicians in the U.S. have used EMR. This is a significant improvement over 2006 when Kalorama Information first began studying EMR and represents the success of the stimulus incentives in the ARRA stimulus law of 2009. More than $28 billion in meaningful use incentive payments have been distributed to 426,000 eligible hospitals and healthcare professionals as of January 1, 2015.

There are several primary issues and trends affecting the electronic medical records (EMR) industry. Demographics, increasing life expectancy, and technology innovation will continue to fuel growth in the future. New developments will also positively influence growth. Issues and trends explored in this study include:

Meaningful Use

Interoperability

Cloud Computing

Mergers and Acquisitions

Health Information Exchanges

Healthcare Cybersecurity

Mobile Adoption

Physician Position and Usability

Privacy Issues

E-Prescribing

Competitors list

Company

EHR System Name

Annual Company Revenue

Public or Private Certification

MU2 certified (as of 9/27/13)

Website

1 Cerner Corporation

Cerner PowerChart Ambulatory EHR

$2.67 billion* Public CCHIT

X (modular

only) cerner.com

2 Epic Systems Corporation

EpicCare Ambulatory - Core EMR

$1.50 billion* Private CCHIT X epic.com

3 Allscripts Allscripts Professional™ EHR"

$1.45 billion Public CCHIT X allscripts.com

4

NextGen Healthcare Information Systems Inc*

NextGen Ambulatory EHR

$429.8 million Public CCHIT X nextgen.com

5 athenahealth athenaClinicals $422.3 million Public

Surescripts LLC / CCHIT

X athenahealth.com

6 GE Healthcare Centricity $293.0 million* Public CCHIT X gehealthcare.com

7 eClinicalWorks* eClinicalWorks $259.0 million Private CCHIT X eclinicalworks.com

8 McKesson

iKnowMed EHR, Horizon Ambulatory, Paragon

** Public Durmmond Group

X (Horizon

Ambulatory) mckesson.com

9

Abraxas Medical Solutions (Merge Healthcare)

iconnect Network $248.9 million* Public CCHIT;

Surescripts merge.com

10 Vitera Healthcare Solutions

Vitera Intergy, Vitera Stat, Vitera Medical Manager

embargoed Private Drummond Group, Inc. X viterahealthcare.com

11

Computers Programs and Systems Inc. (CPSI)

CPSI System $183.3 million* Public CCHIT X cpsi.com

12 Practice Fusion Practice Fusion 134.0 million Private Drummond

Group practicefusion.com

13 Greenway Medical Technologies

Greenway PrimeSUITE

$124.0 million Public CCHIT X greenwaymedical.co

14 Platinum Systems Specialists, Inc.

PlatinumEMR $100.0 million Private

Surescripts LLC / Drummond Group Inc / CCHIT

platinumemr.com

15 Optum (Picis Inc)

Optum Physician EMR Suite

$78.5 million* Public CCHIT optuminsight.com

16 CompuGroup CGM Clinical, CGM Enterprise EHR, CGM webEHR

$50.0 million Public CCHIT cgmus.com

17 T-System Inc T-System $46.2 million* CCHIT

X (modular

only) tsystem.com

18 Meditab Software, Inc

Intelligent Medical Software (IMS) Clinical

$45.6 million* Private

CCHIT / Surescripts

meditab.com

19 CureMD CureMD All-in-One EMR

$39.6 million* Private CCHIT,

SureScripts curemd.com

20 Aprima Medical Software

also Aprima PRM (PM+EHR), Aprima EHR (standalone), Aprima PM (standalone)

embargoed Private CCHIT, InfoGard X aprima.com

20b*** Praxis EMR Praxis Electronic Medical Records

$38.4 million Private Drummond praxisemr.com

21 Advanced Data Systems Corps

MedicsDocAssistant EHR

$30.1 million* Private

CCHIT, Drummond Group

X adsc.com

22 E-MDs e-MDs Solution Series

$30.0 million Private Drummond

Group e-mds.com

23 Nextech Nextech Practice embargoed Private CCHIT nextech.com

24 ADP AdvancedMD Software

AdvancedMD EHR $22.8 million* Public CCHIT advancedmd.com

25 Kareo Kareo EHR $20.0 million Private Drummond

Group kareo.com/ehr

*Data gathered through Hoovers financial reporting.

**Revenue was not reported, ranking relied on industry sources.

***Praxis EMR was inadvertently omitted from the print edition.

^Revenue figure updated by company after October 25, 2013.

<a href="http://www.capterra.com/infographic-top-20-emr-software-solutions" target="_blank"><img width="500" height="3441" border="0" alt="The Top 20 Most Popular EMR Software Solutions" src="http://cdn0.capterra-static.com/images/Top-20-EMR-Software-Solutions-small.png" /></a><br /><p>© 2011 <a href="http://www.capterra.com/">Capterra, Inc.</a></p>

ABOUT UEMR CLOUD

UEMR Cloud is a cloud based system which empowers medical facilities to keep patient data in one secure centralized place. Our software is designed to keep sharable modules between providers and patient care. Our solution is an effective tool to create and manage patient data across all secure channels of medical organizations through effective sharable mechanism.

Target Audience

WHY ARE WE DIFFERENT

Our software allows to share patient medical data between medical facilities through secure sharable mechanism. This will allow to prevent medical errors and perform maximum efficiency on diagnostic. Through our patient portal users simply log in and access the system through a web browser on any Windows or Apple computer.

Through physician portal, physicians will be able to perform medical diagnostics.

Our goal is to focus on designing a system that was revolutionary in its simplicity.

UEMR Cloud stores all data into a secure database which keeps sensitive patient information in encrypted system. Data encryption is the act of changing electronic information into an unreadable state by using algorithms or ciphers. Originally, data encryption was used for passing government and military information electronically.

All screens are password protected. Super administrator has an ability to manage permission based on user type level. Permission level is configured in easy and intuitive way which leverages maximum user performance. Super administrator will have an ability to edit permission based on a user role in a given facility.

System security is integrated using Java Spring Security Architecture using annotation and XML services.

KEY BENEFITS

• Long term storage available

• Cloud Based

• 128 bit security

• On Demand self service

• Rapid elasticity

• Upgrades can be made and applied across the network on one instance of software

• Secure Sharable mechanism

• Accessibility—work from anywhere

• Reduced expense for both software and hardware

• Can be used across all medical specialties

• Automatic Backup and recovery

• Document Management

• Online cloud based system.

• Secure and Scalable

• Easy to use and adopt.

• Multi lingual.

• Competitive a pricing.

• Adoptive Technology

• Ability to share data through automatic secure protocol.

• Reduction of medical errors.

• Free training

• Long term cloud storage.

ADVANTAGES OF UEMR CLOUD

SYSTEM SECURITY

TECHNOLOGY

- Java- Java Spring (employs latest spring security)- Java MyBatis (xml based database configuration management system)- XML- MySQL (Later will need to be switched to Oracle)- HTML and CSS- Javascript (Jquery, Ajax, Angular JS and other .js libraries)

User Type Administration and management

System will contain user management module. This module will be responsible for user authentication and it will have an ability to add/edit/delete users in a system. System will perform all user validation according to business needs. User management will be integrated using Java Spring Security architecture. All authentications will be handled through Java security protocols and authenticated sockets and tokens. System will have an ability to manage the following user types: super administrator, facility, physician and patient. System will have a functionality to force user(s) to change passwords and view user's permissions.

3. ability to assign physicians to medical facility. 4. ability to manage physician/patient permissions 5. ability to preview logs 6. ability to assign physicians to medical facilities.-=

Medical Facility contains general information such as legal facility name, address, website and contacts. System will allow to enter multiple general contacts per given facility. System will also perform phone validation according to US phone structure. No validation will be present for an international facilities. An unlimited number of characters will be allowed to be entered for notes. System will contain dropdowboxes with selection of countries and states.

Operational parameters displays general working hours.

Pricing will enable to view service prices. System validates prices to prevent data entry errors.

Contacts will allow to store all contact information associated with the given facility. There will be no limits on number of contacts to be entered per facility in a system.

System will have physicians associated with that facility. Administrator will have an ability to add/edit physician to a facility based on his license information.

Patient area will allow to view patient information.

Super Administrator: Ability To manage medical facilitiesSystem will contain ability to add/edit delete medical facility along with all the data associated with every facility.

Super Administrator: Ability to manage physiciansSuper administrator will have an ability to view/edit/delete physicians. System will validate if physician has any patient data. If patient data exists and super administrator will try to delete given physician, system will force patient data to be transfered to another physician in a given facility

System will have an ability to store physician credential information such as licenses, education, hospital affiliation, board certifications, CME, MedMal, Insurances, Work History, References. System will allow to store document for every credential information. A basic license validation will be present which will disallow to enter invalid license into a system. System also validates large files and if file is not in supported type, system will generate validation.

Super Administrator: Ability to assign/de-assign physician to a facility

Super Administrator will have an ability to assign/de-assign physician to a given facility. Prior on adding a physician, system will validate physician license. Physician assignment will contain multiple statuses such as: New Request, In Progress, Partially Approved, Fully Approved, On-Hold, Declined, Removed Per Client, Inactive Pending License Approval. System will have colors which will help to identify into which status assignment is made. For simplified search, system will have an ability to filter given physician by assignment status. System has a functionality which allows physician to be assigned to multiple facilities.

Client Administrator: Ability to update facility based on permissionsClient administrator will have an ability to update his facility information similar to a super administrator. System will allow Client administrator to update only his facility. Other facilities will be hidden. System will perform simular data validation as it does for a super administrator.

Client Administrator: Ability to update physicians based on permissionsClient Administrator will have an ability to update and delete physicians who belong to his facility based on permissions. System will perform validation prior to deletion. System will confirm with the user if physician has to be deleted.

Client Administration: Ability to View/Edit/Delete Patient Information based on permissionsBased on permission, system will allow client administrator to view/edit/delete patient information including patient demographics, patient general information and patient visits along with patient diagnostics. System will validate all information and save it immediately on a server. If patient record is sharable, system will immediately notify user(s) who are authorized to receive emails through email notification (if configured). Email notification will contain a link which will allow given user to click on a link and it will open authenticated pages to enter username and password. Additionally, system will send an authenicated token. This toke will serve as additional authenication parameter. After successful validation, system will display given record to a user.