| | May 20159UTLOOK Healthcare Tech Germany (3.6 percent). Within EMEA, the United Kingdom is expected to remain the largest EHR market, growing to $2.1 billion by the end of 2015.Although the Asia Pacific region represents a smaller market, it is expected to grow 7.7 percent to $4 billion overall by the end of 2015, with country governments expected to invest in EHR initiatives through 2018. The Japanese EHR market is forecast to reach $1.4 billion while Australia's market is projected to grow to $ 0.7 billion by the end of 2015.Growth Inhibited by Market ForcesA select mix of market forces has impacted the rate of growth of the addressable EMR/EHR markets: · Economic Slowdown: In many markets, the downstream impacts of a complex global economy have restrained the growth of the EMR/EHR market. Lack of capital and operational constraints has prompted the private and public sectors to be more cautious.· Government Funding: Markets have struggled to develop quickly without the government incentives that serve to fund EMR/EHR functionality and coordinate the IT progress of health systems. · Competing Priorities: Healthcare lead-ers face a number of challenges including financial restraints, regulatory mandates, gov-ernmental incentives and penalties, safety and quality outcomes, patient satisfaction, population health management, personnel shortages, and in some cases, shifting reimburse-ment models.· Inconsistent ROI: Health systems have inconsist-ently achieved the expected levels of re-turn that EMR/EHR so-lutions origi-nally prom-ised and often have difficulty quantifying monetary return, push-ing stakeholders to further question vendor's total cost of ownership.Although these factors have slowed the momentum for the EMR/EHR market, Accenture believes that mitigation of these forces will not be enough for the EMR/EHR global market to reignite growth. New Solutions and Approaches Required for Vendors to Flourish Health systems will need new approaches to address the diverse and changing needs of the marketplace: · Broad EMR/EHR Solutions: These are the traditional solutions already employed in mature markets, such as the U.S., by large vendors offering the broadest range of functionality through large-scale implementation exercises. · EMR as a Service: Cloud-based solutions represent a growing opportunity, particularly for providers who cannot make large up-front investments, and are willing to trade off other benefits of traditional systems. These solutions are likely to be increasingly important in emerging countries and ambulatory settings, growing upstream as breadth of capabilities mature. · Population Health Management: This more holistic approach integrates EMR/EHR within a care management platform and emphasizes data-driven population health across the care continuum. Structured and unstructured data sources, such as biometric, behavioral and genomic data, are standardized and inform personalized care plans through analytics capabilities. The advantages include the opportunity to harness data in order to improve outcomes and to serve patients more effectively from preventative medicine through to end-of-life services. Innovate to Thrive In practice, health systems may require elements of all three models, especially as information needs change or care delivery is pushed downstream to ambulatory settings and other alternative care settings. Vendors need to build disruptive solutions that combine the best of the current proposition with new funding and delivery mechanisms. All stakeholders in the marketplace will need to embrace new ways of working ­ and often forge new partnerships/alliances ­ as they develop innovative models for securely sharing patient data and implementing or augmenting EMR/EHR solutions. The status quo is not an option for any player in this space anymore.Kristin FiceryHT
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