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.
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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.
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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
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HIMSS AnalyticsTM Database derived from the Dorenfest IHDS+ DatabaseTM 2007 HIMSS Analytics
