ECONOMIC ENVIRONMENT 58
Government Funding 58
Federal Government 58
FIGURE 2 TRENDS N PROJECTED FEDERAL HEALTH IT SPENDING, 2008-2013 ($ BILLIONS) 59
FIGURE 2 (CONTINUED) 60
Other Government Entities 60
* Massachusetts 60
* Minnesota 60
* New York State 60
* New York City 61
* Vermont 61
Nonprofit Funding 62
California Health Care Foundation 62
Colorado Health Foundation 62
Regenstrief Institute 63
Markle Foundation 63
Robert Wood Johnson Foundation 64
Private Funding 64
Care Providers 64
Investment and Financing Trends in the Hospital Industry 64
FIGURE 3 EFFECT OF ECONOMIC DOWNTURN ON HOSPITALS' IT SPENDING (%) 65
Physician Practice Financial Trends 65
Implications for ARRA Incentive Program 66
Insurance Companies 66
Hawaii Medical Service Association 66
Highmark Health Insurance 66
Mixed Public-Private Funding 67
Washington Health Information Collaborative 67
Chapter-5: ELECTRONIC HEALTH CARE RECORDS: TECHNOLOGIES AND MARKETS
SUMMARY 68
FIGURE 4 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2008-2014 ($ MILLIONS) 68
FIGURE 4 (CONTINUED) 69
TECHNOLOGIES 69
EHR VERSUS EMR 69
EHR FUNCTIONALITIES 70
TABLE 5 TYPICAL EHR FUNCTIONALITIES 70
TABLE 5 (CONTINUED) 71
CLIENT/SERVER ARCHITECTURE VERSUS APPLICATION SERVICE PROVIDER 71
SUPPLIERS 72
TABLE 6 EHR TECHNOLOGY PROVIDERS 72
TABLE 6 (CONTINUED) 73
MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2008-2014 74
IMPACT OF THE U.S. RECESSION 74
IMPACT OF ARRA 75
TABLE 7 ARRA INCENTIVES AND THE MARKET FOR EHR 75
TABLE 8 POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS, THROUGH 2015 ($ BILLIONS) 7
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