Más contenido relacionado La actualidad más candente (20) Similar a Establishing Cognizant In EMR Market (20) Establishing Cognizant In EMR Market1. © 2006, Cognizant Technology Solutions. All Rights Reserved.
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Establishing
Cognizant in
EMR Market
Space
Gopalakrishnan.R (121258)
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
2. © 2006, Cognizant Technology
Table of Contents
1. EMR
1. EMR vs EHR: Definition
2. Terminologies Used In Industry
3. Why EMR? The Need and Demand For
4. Functional Requirements of an EMR
5. Advantages of EMR
1. Clinical Benefits
2. Financial Benefits
6. EMR Environment
2. Market Overview
1. Market Size
2. EMR Adoption Model
3. Adoption Scenario
4. Projected Benefits of EMR Adoption
3. © 2006, Cognizant Technology
Table of Contents (cont.)
5. Drivers and Inhibitors
6. Implementation Costs and ROI
1. Hospitals (Case Study)
5. EMR Adoption - Summary
3. Competitive Landscape
1. Major Vendors
2. Vendor Rating
3. Key Regulations and Certifications
1. HIPAA
2. Code of Federal Regulations (CFR) - Part 11
3. Key Certifications - CCHIT
3. Conclusions & Outlook
4. US President Bush Vision
5. Vision & Roadmap for Cognizant
4. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
EMR
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
5. © 2006, Cognizant Technology
EMR vs EHR: Definition
© 2006 HIMSS AnalyticsTM
http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf
6. © 2006, Cognizant Technology
Terminologies used in the Industry
CDO – Care Delivery Organization
CDR – Clinical Data Repository
CMV – Controlled Medical Vocabulary
CDSS – Clinical Decision Support System
CPOE – Computerized Provider Order Entry
CHI - Consolidated Health Informatics initiative
CFR - Code of Federal Regulations
CMS - Centers for Medicare and Medicaid Services
CCHIT - Certification Commission for Healthcare Information
Technology
DICOM – Digital Imaging and Communication in Medicine
EHR – Electronic Health Record
eMAR – Electronic Medical Administration Record
EMPI - Enterprise Master Person Index
eRex - Electronic Prescribing
FHA - Federal Health Architecture
HIPPA - Health Insurance Portability and Accountability Act of 1996
HHS - Department of Health and Human Services
HIT - Health Information Technology
7. © 2006, Cognizant Technology
Terminologies used in the Industry
(Cont.)
HIMSS - The Healthcare Information and Management Systems
Society
HL7 - Health Level Seven
IOM - Institute of Medicine
LIS - Laboratory Information Systems
NHIN - National Health Information Network
NHII - National Health Information Infrastructure
NIH - National Institutes of Health
PACS – Picture Archiving and Communication Systems
ONCHIT - Office of the National Coordinator for
PIS - Pharmacy Information Systems
PHR - Personal Health Record
RHIO - Regional Health Information Organization
VA - Department of Veterans Affairs
VHA - Veterans Health Administration
VHA’s EHR - Veterans Health Administration’s Electronic Healthcare
Record
VistA - Veterans Health Information Systems and Technology
Architecture
8. © 2006, Cognizant Technology
Why an EMR? The need and Demand
for:
Timely, accurate health data
Rapid sorting of available information
» Patient-specific data
» Knowledge bases, decision support tools
Information at the point of care
Managing patient services
Tracking costs and value
Assessing provider performance
Information for research, public health
Communicating across distances
Monitoring patient conditions remotely
http://www.emr.msu.edu/Documents/ppt/Why%20Use%20an%20EMR_files/frame.htm
9. © 2006, Cognizant Technology
Functional Requirements
A detailed list of EMR Requirements are
captured in the following link for
reference.
http://www.vch.ca/professionals/docs/phcn/clinical_emr_requirements.pdf
10. © 2006, Cognizant Technology
Advantages of EMR
Clinical Benefits
Improved Clinical Decision Making
» Decision Support Features
» Adverse Drug Event Avoidance
» Health Maintenance Reminders
» Access to a More Complete Patient Record
Enhanced Documentation
» Improved Accuracy
» Improved Legibility
» Improved Completeness
» Improved Security
11. © 2006, Cognizant Technology
Advantages of EMR (cont.)
» Tailored Patient Education
» Advanced Reporting Capabilities
Better Patient Care
» Greatest Benefits
» Web Consultation
Financial Benefits
» Increased productivity
» Increased revenue
» Avoidance of costs
» Increased profit
http://www.emrexperts.com/emr-ebook/
12. © 2006, Cognizant Technology
EMR Environment
© 2006 HIMSS AnalyticsTM
http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf
13. © 2006, Cognizant Technology
EMR Environment (contd)
CDR - A real-time transaction-
processing database of clinical patient
information.
CMV - Normalizes data from a relational
and definitional hierarchy, enabling
other components of the EMR to
operate optimally.
© 2006 HIMSS AnalyticsTM
http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf
14. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
Market
Overview
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
15. © 2006, Cognizant Technology
Market Size
Market Size :
» “The 1.2 billion-dollar market for EMR is expected to grow
nearly 400% in the next eight years^”
» “… electronic health records in the United States is poised to
grow at a rate of 13.5 percent over the next four years, and
by 2015 it will top $4.85 billion… *”
^ - http://www.kaloramainformation.com/EMR-Technologies-1365762/
* - http://www.healthcareitnews.com/printStory.cms?id=6332
16. © 2006, Cognizant Technology
Market Adoption - EMR Adoption
Model
© 2006 HIMSS AnalyticsTM
http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf
17. © 2006, Cognizant Technology
Market Adoption - Adoption Scenario
© 2006 HIMSS AnalyticsTM
http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf
Profiles of Progress – State Health IT Initiatives
:http://www.nascio.org/publications/documents/NASCIO-ProfilesOfProgress.pdf
18. © 2006, Cognizant Technology
Market Adoption : Projected
Benefits of EMR Adoption
19. © 2006, Cognizant Technology
Market Adoption : Projected Benefits
of EMR Adoption (contd)
20. © 2006, Cognizant Technology
Drivers and Inhibitors
Drivers
Clinical Benefits
» Practices want improved clinical procedures
» Higher quality documentation
» Patient education
» Reminders and protocols
» Management of medications
» Signing of charts
» Callbacks and telephone tri-age
Financial Drivers
» All practices look for cost reduction
» Reduced transcription costs
http://findarticles.com/p/articles/mi_m0DUD/is_5_22/ai_74571489
21. © 2006, Cognizant Technology
Drivers and Inhibitors (Contd.)
Administrative Gains
» Decreased chart pulls and less filing
» Fewer lost charts
» Improved communication
» Chart requests and audits
Inhibitors
Cost
Security and Privacy Issues
Acceptance and Testing
Infrastructure and development
Technical Issues
http:www.fastercures.org/pdf/emr_whitepaper.pdf
22. © 2006, Cognizant Technology
Implementation Costs & ROI
Adoption costs for hospitals : “…the cumulative cost for 90
percent of hospitals to adopt an EMR system is $98 billion if
20 percent of hospitals now have such a system. Average
yearly costs for the fifteen-year adoption period are $6.5
billion—about one-fifth of our earlier-described estimate of
potential efficiency savings in hospitals.”
Adoption costs for physicians : “….the cumulative costs to
reach 90 percent adoption are $17.2 billion, almost equally
split between one-time costs and maintenance costs. The
average yearly cost during the adoption period is about $1.1
billion.”
http://content.healthaffairs.org/cgi/content/full/24/5/1103#SEC8
23. © 2006, Cognizant Technology
Implementation Costs & ROI (Contd)
Hospitals
» Case Study :
• Capital Region Healthcare: Cost and Quality
Benefits - The following link for reference.
• www.providersedge.com/ehdocs/ehr_articles/Capital_Region_Healthcare-
Cost_and_Quality_Benefits.pdf
24. © 2006, Cognizant Technology
EMR Adoption - Summary
The adoption of interoperable EMR systems could
produce efficiency and safety savings of $142–$371
billion.
http://content.healthaffairs.org/cgi/content/full/24/5/1103#SEC8
25. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
Competitive
Landscape
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
26. © 2006, Cognizant Technology
Major Vendors
Cerner
COMPUTER PROGRAMS AND SYSTEMS, INC.
Eclipsys Corporation
Epic Systems Corporation
GE Healthcare
McKesson Corporation
Medical Information Technology, Inc. (MEDITECH)
MedPlus
Quadramed Corporation
Siemens Medical Solutions
http://www.kaloramainformation.com/prod-toc/EMR-Technologies-1365762/
27. © 2006, Cognizant Technology
Vendor Rating
The following link provides an “Extensive Evaluation
Ranking Top Electronic Medical Record Applications”
http://www.providersedge.com/ehdocs/ehr_articles/2004_EMR_Survey_Summary_Report.pdf
28. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
Key Regulations and
Certifications
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
29. © 2006, Cognizant Technology
Key Regulations and Certifications
HIPAA
Code of Federal Regulations (CFR) - Part 11
Key Certifications
» The Certification Commission for Healthcare
Information Technology
http://www.kaloramainformation.com/prod-toc/EMR-Technologies-1365762/
30. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
Conclusions &
Outlook
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
31. © 2006, Cognizant Technology
Conclusions & Outlook
EMRs Why their Time has come
http://www.providersedge.com/ehdocs/ehr_articles/EMRs-Why_Their_Time_Has_Come.pdf
EMR is necessity
US is market leader
Office-Based Physicians are in Growth Area
EMR costs will be reduced
EMR software is defined by Applications
There is large market for vendors
EMR is a budget priority for Healthcare Companies
HIPPA to drive EMR growth
http://www.kaloramainformation.com/prod-toc/EMR-Technologies-1365762/
32. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
US President
Bush Vision
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
33. © 2006, Cognizant Technology
US President Bush Vision
"We will make wider use of electronic records and other
health information technology to help control costs and
reduce dangerous medical errors."
-- President Bush, January 31, 2006
http://www.whitehouse.gov/stateoftheunion/2006/
34. © 2006, Cognizant Technology Solutions. All Rights Reserved.
The information contained herein is subject to change without notice.
Vision &
Roadmap for
Cognizant
The U.S. Market for EMR Technologies
18 June 2007
Disclaimer : Information presented in this presentation are meant to
be informative and not a final authority
35. © 2006, Cognizant Technology
Vision & Roadmap for Cognizant
Market Pulse
» Build Strong Analyst Relationship
Branding
» Sponsoring Major Healthcare Conferences like HIMSS /
AHIP / NMHCC / RSNA
Building DCG
» Partner with Medical Academic Research Institutions
» Incubate COM (Cognizant Institute of Medicine) building
niche Domain / Technical Competencies
Increasing Value Propositions : Six Sigma
Striking Deals
» Partner with Lead EMR Vendors : Off shoring / Outsourcing
Product Development & Maintenance
36. © 2006, Cognizant Technology
Vision & Roadmap for Cognizant
Evolving as an mature EMR ISV ? (2-3 yrs)
» Achieving Delivery Excellence through Innovation and
competitiveness
» Presenting / Publishing Technical, Solutions Paper in
Summits
Building EHR Competences to spearhead in HIT Space?
(3-4 yrs)
Reaching Top 10 Global HIT Services Company? (5-6
yrs)
“As we look ahead, there will be no shortage of challenges. In
spite of few barriers, it is high time for Cognizant, to reach
further milestones by exhaustively understanding EMR market
and taking complete advantage of the opportunity market is
offering”
37. © 2006, Cognizant Technology
“The more intensely we feel about an idea or a
goal, the more assuredly the idea, buried deep
in our subconscious, will direct us along the
path to its fulfillment.”
Earl Nightingale
(US motivational writer and author, 1921-1989)
Passion