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READER NOTICE: Contents of the POMIS Report are the opinions of its author, Vinson Hudson (Jewson Enterprises) and do not necessarily reflect the opinions of Medical Strategic Planning, Inc about these same vendors. The POMIS Knowledgebase is separate from the MSP Reality EHR Knowledgebase™, described elsewhere on this website, and is not harmonized to it. Therefore, information derived from these two separate products reflects two different viewpoints and set of numerics on the same geographic market. The POMIS report offers a wider perspective (covers more market segments) than MSP reports, however the MSP Reality EHR Knowledgebase™ offers finer granularity than the POMIS Knowledgebase. MSP is happy to offer you both of these fine resources. Both sources of information are copyrighted intellectual property of their respective companies and authors.

REPORT ABSTRACT

Volume 1 - Medical offices, physician's offices, or ambulatory care settings are the foundation of managed, integrated delivery of care.  Physician's Office management and Medical Information Systems (POMIS) provide the functionalities of financial, administrative, managed care, medical/clinical, and practice support.The POMIS industry consists of ambulatory care medical providers who acquire these solutions and vendors who design, implement, and support these solutions.  A basic POMIS consists of patient billing, accounts receivable management, insurance processing, managed care functions, and scheduling information functions, which may be implemented as two separate components, an Electronic Health Records (EHR) component and a Computer Practice Management (CPM) component. The POMIS marketplace consists of office-based and medical teaching physicians and vendors who market products and services as automated information systems solutions. POMIS may also be implemented as either a product or a service, or a combination of both, packaged as hardware, software, training, installation, and services to keep the medical office practicing quality medicine.The POMIS Report is driven by the business performance of vendors who sell turnkey computer systems, billing services, and outsourcing services.  To be a POMIS vendor, the company must at least offer the basic POMIS solution previously described. Individual software publishers are not counted as POMIS vendors. However, their business is included if they market their product through POMIS vendors providing the POMIS vendor revenues.

The uncontrollable increases in cost of health care are a national issue. Both public and private sector payers want to factor performance of physicians into reimbursement to align incentives and turn the trend lines in a more favorable direction. Pay-for-performance programs link quality of care and provider reimbursement, which will require payers and providers to make changes in processes and information technology, as well as contracts that establish the business terms between them. The strongest selling point for EHR-EMR systems adoption is a credible business case. Several cases have been presented, but physicians still are not believers. The U.S. Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) recently awarded a $100,000 grant to the American Academy of Family Physicians (AAFP) to support a pilot project provision to provide a comprehensive, standardized electronic health record (EHR) software to the health care community. There are promising programs of financial incentives that should help providers adopt healthcare IT. A report released by the Foundation for eHealth Initiative and The Health Strategies Consultancy, called Financial Incentives: innovative Payment for Health Information Technology identifies several types of financial incentives that are already working to promote the adoption of health information technology (HIT).

Includes Federal HIT Programs - The Office of the National Coordinator for Health Information Technology (ONC) is responsible for coordinating federal activities relating to health information technology.

Many different components of the federal government touch upon health care, so federal leadership in HIT needs to be focused and coordinated. According to the FHA initiative and budget documents submitted to the Office of Management and Budget, total federal spending on HIT was over $900 million in FY2004. A list of identified federal HIT programs are included.

General Market Descriptions - The market analysis of the POMIS industry is segmented by seven major market segments and by four information systems solutions business delivery approaches.  Each market segment and business approach is further analyzed into revenues produced or received, customer installations, and annual installations.  From the estimates for the base year 2005, Jewson Enterprises projects the 2010 figures and the associated compound annual group rates (CAGR).

Vendors - The basic vendor products consists of a mix of billing services, personal computer-based systems vendors, workstation-based systems vendors, midrange/mainframe-based systems vendors, and outsourcing services vendors.  At the end of 2005, the number of vendors is holding at 691.

Physicians - The POMIS Report includes the total population of non-federal, active physicians by professional activity:Total Physicians; Office-based Physicians; Hospital-based Physicians; Academic Medical Physicians and Other Physicians

Physician’s Offices - The POMIS Report includes all physicians who are based in the following major office-based market segments:Traditional Solo & 2-physician (includes free-standing ambulatory care centers); Traditional Group Practices (limited to 3-99 physicians and includes free-standing ambulatory care centers); Hospital-based Practices; Academic Medical Centers; Managed Care Plans; and Integrated Health Networks.

About Revenue Forecasts -

• Estimates, forecasts, and projections are based on the calendar year identified.  All market figures are based on United States acquisition of medical office information technology solutions (ITS) products and services.  Forecasts and projections do not include an inflation factor.

• Total revenues include physician's office expenditures for information system solutions (ISS) relative to automation, such as hardware, software, support, training, billing service management, etc.

• Physician Population Groups - The POMIS Report includes the total population of non-federal, active physicians (medical doctors and doctors of osteopath) by professional activity described as follows:

• Total Physicians

• Office-based Physicians

• Hospital-based Physicians

• Academic Medical Physicians

• Other Physicians

Volume 2 - This volume contains data on 403 market participants, presented as a Microsoft Access database file (mdb). The data is LICENSED, not sold to the customer and subject to EULA restrictions. The license period is one year. The information contained is copyrighted by the author and may not be made public, extracted or used in presentations to the general public. Doing so is a violation of U.S. copyright laws. The data is intended for the private use of the licensee only. Samples are shown below:
The POMIS Report includes the POMIS Knowledgebase (see right panel) of information on 403 POMIS vendors. The database includes a variety of information, as shown below (from the Vendor General Information button on the main menu). This data is based upon published information for public vendors, and upon market estimates, self-reported and other information for private companies.
	Other functions of interest include installed base reports on vendor stability, technological fit, product maturity, breadth of service offered, product costs and functionality, vendor implementation assistance and other factors. NOTICE: This volume is the Access Database, but does not include Microsoft Access, an optional component of the Microsoft Office Suite of products. It is the purchaser's responsibility to install the database on a computer equipped with one of the currently sold versions of Microsoft Access. This database may not be compatible with legacy versions of Access that are no longer sold by Microsoft. All data in the POMIS Knowledgebase is LICENSED to the user, not sold. Jewson Enterprises maintains all copyrights on the information provided, so the information may not be made public or used in derivative products and sold for commercial purposes. If other licensing is needed, contact Vinson Hudson at Jewson Enterprise for special permissions.

Volume 3 - This chapter discusses the marketplace of ambulatory care setting EHR-EMR (ACS EHR-EMR) systems. The pace of ACS EHR-EMR systems adoption is picking up. States and the federal governments are incorporating actionable readiness; they are coordinating and establishing quality improvement organizations, and Regional Health Information Organizations designed to effectively exchange healthcare data. Most important to the POMIS industry is the focus NOW on physician practice IT integration.  Physicians, vendors, and external stakeholders understand the importance of integrating administrative, financial, and clinical functionalities so that small, medium-size, as well as large practices can deliver health and medical care efficiently and productively. Independent ACS EHR-EMR systems vendors have teamed with independent practice management systems (PMS) vendors in order to deliver one solution.