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MARKET OVERVIEW 

 

 
 
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Published:  January 19, 2012
 
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Slide 1: MARKET OVERVIEW Hospital Cardiology PACS Applications 2006 Year End Report 1 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 2: CPACS Installation Summary Have signed a contract for CPACS but have not yet installed the system 3% CPACS System Installed 16% Plan to Purchase CPACS for the First Time 2% Cardiology PACS (CPACS) has not 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
Slide 3: CPACS Installation Summary By Number of Beds 4% 22% 32% 33% 46% 46% 1% 3% 5% 4% 3% 1% CPACS Contracted or Installed No CPACS/Plans to Purchase Larger hospitals are more likely to have CPACS installed. While hospitals across all bed size segments are equally likely to purchase this software, hospitals with 200 to 299 beds are most likely to purchase this technology. 95% No CPACS/No Plans 78% 64% 62% 51% 53% Under 100 Beds 100 to 199 Beds 200 to 299 Beds 300 to 399 Beds 400 to 499 Beds 500or More Beds 2007 HIMSS Analytics 3 N = 4,017 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM
Slide 4: CPACS Installation Summary By Number of Imaging Procedures Hospitals that do between 25,000 and 99,999 are most likely to have an installed CPACS system. However, hospitals that do 100,000 or more imaging procedures are, by percentage, most likely to purchase this technology in the future. 74% 22% CPACS Contracted or Installed 40% 4% 2% No CPACS/Plans to Purchase 0% 10% 57% 57% No CPACS/ No Plans 41% 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
Slide 5: CPACS Installation Summary Temporal Summary of Installations and Contracts 1998 or earlier 1999 or 2000 2001 2002 2003 2004 2005 2006 4% 6% 5% 7% 14% Approximately two-thirds of contracts for CPACS systems have been signed in the past three years. 25% 30% 9% 5 N = 467 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 6: CPACS Installation Summary Overall 2005/2006 Data The installation rate for CPACS has increased seven percent in the past year. The percent of hospitals that have signed a contract for CPACS technology has also increased slightly since 2005. 12% Automated 19% 3% 4% Signed first contract 84% Not automated 77% 2005 2006 6 N = 3,948 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 7: 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 another two percent have signed an initial contract. Another three percent plan to purchase the technology in the next year. Signed first contract 2% Plan to purchase software 3% Not automated 2004 7 84% N = 3,323 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 8: Installation Rate of CPACS Modalities Cath Lab 15% Echocardiology 14% The cath lab and echocardiology modalities are the most widely used CPACS modalities. CT Intravascular Ultrasound Nuclear Cardiology 10% 9% 9% 8 N = 5,082 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 9: Number of Modalities Installed One 22.37% Among those hospitals that have installed CPACS technology, nearly 40 percent are installing five modalities of CPACS. However, a nearly equal percentage are implementing only one or two modalities. Two 18.83% Three 14.51% Four 7.86% Five 36.43% 9 N = 903 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 10: Number of Modalities Installed By Number of Beds 94% 77% None 52% 51% 4% 11% 67% 65% One to Three 20% 21% 25% 24% 2% 11% 14% 14% 23% 25% Larger hospitals are more likely than smaller hospitals to have a full range of CPACS modalities installed at this time. Four to Five 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
Slide 11: Number of Modalities Installed By Number of Imaging Procedures 77% None 40% 43% 60% 13% Hospitals that perform 50,000 99,999 imaging procedures are more likely to have four to five CPACS modalities installed. One to Three 31% 21% 40% 10% Four to Five 0% 29% 36% Under 25,000 25,000 to 49,999 50,000 to 99,999 100,000 or More 11 N = 1,104 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 12: 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
Slide 13: Hospital Cardiology PACS Top Ten Installed and Contracted Systems Vendor PHILIPS MEDICAL SYSTEMS GE HEALTHCARE AGFA-GEVAERT EMAGEON SIEMENS MEDICAL SOLUTIONS MCKESSON PROVIDER TECHNOLOGIES SCIMAGE, INC. DR SYSTEMS, INC. PROSOLV LUDMEDX CORPORATION # of Installations 287 235 165 93 91 77 17 13 11 9 % of Market 26.72% 21.88% 15.36% 8.66% 8.47% 7.17% 1.58% 1.21% 1.02% 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
Slide 14: Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Vendor GE HEALTHCARE AGFA-GEVAERT PHILIPS MEDICAL SYSTEMS SIEMENS MEDICAL SOLUTIONS EMAGEON MCKESSON PROVIDER TECHNOLOGIES PROSOLV AMICAS SCIMAGE, INC. DR SYSTEMS, INC. Under100 Beds % of Market 23.01% 21.24% 17.70% 7.08% 7.08% 6.19% 3.54% 3.54% 2.65% 0.88 % # of Installations 26 24 20 8 8 7 4 4 3 1 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
Slide 15: Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Vendor PHILIPS MEDICAL SYSTEMS GE HEALTHCARE AGFA-GEVAERT EMAGEON MCKESSON PROVIDER TECHNOLOGIES SIEMENS MEDICAL SOLUTIONS DR SYSTEMS, INC. SCIMAGE, INC. LUDMEDX CORPORATION PROSOLV 100-199 Beds % of Market 25.10% 23.46% 18.11% 7.00% 6.58% 6.58% 2.06% 1.23% 0.82% 0.82% # of Installations 61 57 44 17 16 16 5 3 2 2 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
Slide 16: Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Vendor PHILIPS MEDICAL SYSTEMS GE HEALTHCARE EMAGEON MCKESSON PROVIDER TECHNOLOGIES AGFA-GEVAERT SIEMENS MEDICAL SOLUTIONS SCIMAGE, INC. LUMEDX CORPORATION DR SYSTEMS, INC. PROSOLV 200-299 Beds % of Market 29.58% 21.67% 11.25% 9.17% 8.33% 7.92% 2.08% 1.67% 1.25% 0.83 % # of Installations 71 52 27 22 20 19 5 4 3 2 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
Slide 17: Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Vendor PHILIPS MEDICAL SYSTEMS GE HEALTHCARE AGFA-GEVAERT SIEMENS MEDICAL SOLUTIONS EMAGEON MCKESSON PROVIDER TECHNOLOGIES SCIMAGE, INC. OPTIMED TECHNOLOGIES, INC. LUMEDX CORPORATION DIGISONICS, INC. 300-399 Beds % of Market 28.73% 18.78% 14.36% 11.05% 9.39% 7.73% 1.10% 1.10% 1.10% 0.55% # of Installations 52 34 26 20 17 14 2 2 2 1 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
Slide 18: Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Vendor PHILIPS MEDICAL SYSTEMS GE HEALTHCARE AGFA-GEVAERT MCKESSON PROVIDER TECHNOLOGIES SIEMENS MEDICAL SOLUTIONS EMAGEON SCIMAGE, INC. DR SYSTEMS, INC. DYNAMIC IMAGING, INC. PROSOLV 400-499 Beds % of Market 26.09% 26.09% 14.78% 10.43% 9.57% 4.35% 1.74% 1.74% 0.87% 0.87% # of Installations 30 30 17 12 11 5 2 2 1 1 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
Slide 19: Hospital Cardiology PACS Top Ten Installed/Contracted Systems Hospitals Vendor PHILIPS MEDICAL SYSTEMS GE HEALTHCARE AGFA-GEVAERT EMAGEON SIEMENS MEDICAL SOLUTIONS MCKESSON PROVIDER TECHNOLOGIES SCIMAGE, INC. PROSOLV DR SYSTEMS, INC. LUMEDX CORPORATION 500+ Beds % of Market 29.12% 19.78% 18.68% 10.44% 9.34% 3.30% 1.10% 1.10% 1.10% 0.55% # of Installations 53 36 34 19 17 6 2 2 2 1 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
Slide 20: Hospital Cardiology PACS Top Ten Vendors Considered for a Planned Purchase Vendor GE HEALTHCARE PHILIPS MEDICAL SYSTEMS SIEMENS MEDICAL SOLUTIONS AGFA-GEVAERT GROUP MCKESSON PROVIDER TECHNOLOGIES FUJIFILM MEDICAL SYSTEMS LUMEDX CORPORATION EMAGEON DR SYSTEMS, INC. AMICAS # of Times Considered 34 24 19 18 17 4 3 2 2 1 20 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 21: Plans to Purchase a CPACS System By Number of Beds Under 100 100 to 199 200 to 299 300 to 399 400 to 499 500 or more beds 8% 5% 16% 26% 27% 18% The majority of CPACS plans for purchase are expected to occur in hospitals with fewer than 400 beds, with the 100 299 bed segment showing the most activity at this time. 21 N = 104 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 22: Planned Timeframe for Signing a Contract 6-12 Months 63% 12-18 Months 14% 18-24 Months 13% 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 six to 12 months. However, another 10 percent will defer this purchase for at least two years. Greater than 24 Months 10% 22 N = 70 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 23: Plans to Purchase Cardiology CPACS Modalities Cath Lab 1.75% There is no clear leader for CPACS application modality for planned purchases at this time. Echocardiology Intravascular Ultrasound CT Nuclear Cardiology 1.65% 1.42% 1.36% 1.34% 23 N = 5,082 HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
Slide 24: 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
Slide 25: 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
Slide 26: 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
Slide 27: 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
Slide 28: 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
Slide 29: 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

   
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