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Information Solutions for the Clinical Workflow

Image of Daniel Pollock

Author: Daniel Pollock, Vice President & Lead Analyst

The implementation of new technologies and changes in medical practice has created lucrative opportunities for expert information publishers and suppliers. The big publishers are now moving en masse to build and acquire clinical decision support products and bring out new tools to inform the clinical workflow. With these opportunities, however, come challenges, as workflow products are more about transforming the practice of healthcare than about content. The lines between content, software, and services are blurring. Indeed, the clear market leader and first mover does not see itself as a conventional publisher at all, and has established its lead without offering any conventional reference content. In this comprehensive report, we review this new market. The report contains:

- Analysis of the big-picture issues challenging healthcare, the industry response, and the changing information needs of information professionals;
- A model of the healthcare value chain;
- A discussion of EHR (electronic health record) rollout;
- A detailed definition of the content needs of the digital workflow;
- Our bird’s-eye view of the size of the market, and a focused look at order sets – where the rubber meets the road of workflow-focused content – including a detailed comparison between the three largest STM publishers and market-leader Zynx;
- Essential actions for publishers that want to build clinical workflow solutions.

Pub Date: June 27, 2008
Pages: 60
Format: PDF Application_pdf

Table of Contents

  • Why This Market?
    1. Methodology
  • Market Overview
    1. Market Definition
    2. Macro and Historical Issues and Challenges
    3. Industry Response
  • Industry Structure
    1. Modeling the Healthcare Value Chain
    2. Modeling Provider Segmentation
    3. A Focus on EHR Rollout
  • Content Needs for the Clinical Workflow
    1. From Reference Content to Actionable Content
    2. Defining Point of Care
    3. Defining Clinical Decision Support
    4. Semantic Mark-up
    5. “Content” Means Different Things to IT Companies
    6. Content Needs for Clinical Decision Support
    7. Order Sets
  • Market Size, Share, and Growth Forecast
    1. Developing the Market Forecast Models
    2. Market Forecast Conclusions
  • Market Dynamics & Key Trends
  • Comparing Key Companies
    1. Comparison at a Glance
    2. Order Set Product Comparison Tables
    3. Comparative Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis at a Glance
    4. A Deeper Look at the Four Companies
  • Essential Actions
  • Related Research
  • Appendix 1: Content Models for Clinical Decision Support
  • Appendix 2: Order Set Product Comparison Tables

    • Tables & Figures

  • Figure 1. The Evolving World of Digital Healthcare Systems
  • Figure 2. Simplified Model of the Healthcare Value Chain
  • Table 1. HIMSS Analytics Model of EHR Adoption and Adoption Rates, 2005-2006
  • Table 2. Estimated Baseline Order Set Revenues, February 2008
  • Table 3. Order Set Pricing Data Points
  • Table 4. Market Sizing Estimate One (AHA model)
  • Table 5. Market Sizing Estimate Two (Wharton model)
  • Figure 3. Total IT Spending Projections, 2005-2013
  • Table 6. CDS Spending as a Subset of Overall IT Spending Projections
  • Table 7. Market Sizing Model Summary
  • Table 8. Order Sets Suppliers Dashboard
  • Table 9. Order Sets Adjacencies Dashboard – Related Products, Brands, and Penetration
  • Table 10. Order Sets: Ancillary Content Types and Branding
  • Table 11. Comparative SWOT Analysis at a Glance
  • Table 12. Hearst – Zynx
  • Table 13. Thomson Reuters – Thomson Order Sets Solution
  • Table 14. Kluwer – ProVation Order Sets
  • Table 15. Elsevier – (Order Sets solution branding not yet decided)
  • Table 16. Objectives of Clinical Decision Support
  • Table 17. The Ten Commandments for Effective Clinical Decision Support
  • Table 18. Types of Clinical Decision Support Information
  • Table 19. Clinical Workflow Model and Information Needs
  • Table 20. Order Sets Suppliers Branding
  • Table 21. Order Sets Suppliers Product Configuration
  • Table 22. Core Actionable Content Coverage
  • Table 23. Order Sets Supporting Reference Content Coverage
  • Table 24. Order Sets Tools and Rollout

    • Companies Mentioned

  • BMJ Publishing Group
  • EBSCO
  • Elsevier Health Sciences
  • Hearst Business Media
  • John Wiley & Sons
  • Thomson Healthcare
  • Wolters Kluwer Health

Companies Mentioned

  1. BMJ Publishing Group Ltd.
  2. EBSCO Industries, Inc.
  3. Elsevier Health Sciences
  4. Hearst Business Media
  5. John Wiley & Sons
  6. Thomson Reuters - Healthcare Business
  7. Wolters Kluwer Health