EMR Market in India: Growth and Challenges

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3 Νοε 2013 (πριν από 3 χρόνια και 7 μήνες)

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EMR Market in India: Growth and Challenges


The electronic medical record (EMR) is simply the
electronic format of medical records. EMR stores various
types of medical data. The
data ranges from medical
history, prescriptions, drug allergies to the patients hospital
service bills and more. The currently used paper based
system is insufficient, ineffective and involves high cost of
maintenance. On the contrary, EMR has several
ntages like easy data recovery, portability,
collaboration etc. EMR assists doctors in make effective
medical decisions with ease. In addition, EMR helps the
service providers to effectively gather, maintain and
recover patient’s medical information with t
he help of
hospital information system (HIS). Along with managing the
medical data, EMR assists in hospital order management,
hospital workflow management and security of the
medical data. It assists the entire healthcare delivery
process in reducing cost

and maximizes the profit.


Large hospitals which have implemented and integrated
the EMR to the core functions of the hospitals are realising

the benefits. The streamlined process reduces or blocks the
revenue leaks across the value chain. The
term usage

of EMR will lead to reduction in cost by reducing the
administrative expenditure and increase in data accuracy.
With help of EMR Doctors’, are able to treat the patients
better with easy and accurate data accessibility. The
collection of cl
inical data at the point of care enhances
the efficiency and improves the data quality. The
pharmaceutical companies and regulatory

the collected data to improve the post marketing
surveillance of drugs. The patients receive better and
ter reimbursements. In summary, EMR reduced
revenue leaks, increased patient satisfaction and
increased the efficiency of the process through




Although EMR has
tangible positive outcomes, the
adoption rate has been low. The market comprises handful
of hospitals using EMR. The usage of EMR is limited to
corporate hospitals in the various metro cities of India. The
known hospital brands such as Fortis and Apollo ha
ve been

using EMR in a few of their hospitals. In comparison to
developed nations, the adoption of EMR in India has been


arket in India



Private vs Public Cloud




low. The low adoption rate is due to several
gaps existing from the doctors to EMR vendors.

The lack of awareness about the benefits of EMR is
the largest perceived barrier. The prevailing low
awareness about the advantages of EMR among
the small and med
ium scale healthcare service
providers is limiting the adoption rate.

The resistance in acceptance of the product new
and novel information technology platform
impedes the adoption. Doctors who are the basis
of healthcare service are defiant about EMR. This is
primarily due to lack of compatible technology
available in the m
arket. Additionally, the EMR
necessitates the use of computers by the doctors.
Along with doctors, the stakeholders operating
within a hospital are defiant in changing to the

The high cost of implementation increases capital
requirement. This is beyo
nd in reach of the small
and medium scale companies. The capital
intensive EMR will add to the healthcare service
providers’ financial burdens. The fragmented
Indian healthcare market that does not have a
steady revenue and cash flow might view that
l burden as a risk.

The implementation process of requires long down
time that negatively influences the ongoing
workflow in any hospital. The vendors implement
the various modules of EMR in phases. This
implementation process affects the ongoing

in the hospital.

Lack of user
friendly interface adds to the
technology adoption. The complicated EMR
interfaces discourage the technological defiant
doctors in adoption. Additionally, the EMR are
inadequate to capture the entire data gathered
by the do

The vendors lack domicile knowledge in
healthcare. This results in development of EMR with
various gaps. Technology being the primary
competence of the vendors, they tend to develop
products that highly are incompetent. The gap
existing between the

information technology and
healthcare needs to be bridged by vendors to
develop effective EMR products.

Newsl etter March 2011

Vol ume 1 I ssue 1



vendors need to take a holistic view of healthcare
delivery while developing the EMR products. The existing
demand supply gap in the market should bridged by
better products and educating the doctors. The vendors
are evolving at a greater rate in product
The demand supply gap will steadily close due to the
initiatives by vendors. They are designing better user
friendly products for doctors and providing better
maintenance support for existing EMR products. The
awareness among the medical frate
rnity will increase due
to the aggressive promotion by vendors. The medical
community may actively accept the new web based EMR

Private Vs Public Cloud: Which
is the next big thing?


Today ‘cloud computing’ is considered to be the newest
buzzword in the world of Internet and computing
technologies. Cloud Computing is a paradigm shift in the
way IT is consumed and provided by vendors to customers.
Cloud computing customers do not own the physical
infrastructure but instead to avoid capital expenditure can
rent usage from a third
party provider. They consume
resources as a service and pay only for resources that they
use. Consumption is usually bill
ed on a utility (e.g.,
resources consumed, like electricity) or subscription (e.g.,
based, like a newspaper) basis with little or no upfront

Considering the dynamics at which Indian economy is
growing, the demand for application platforms,
ehensive virtualized solutions and integrated
management offerings will become the key areas of focus
while providing cloud computing service in India

Companies like IBM, Netmagic, Reliance and many System
Integrators like Wipro, TCS and Infosys are taking

steps to
towards making cloud computing services available in
India. Many global players like Google, Microsoft, Amazon,
VMware, and Salesforce.com are considering major
investments in next couple of years. HP and Microsoft have
signed an agreement (Jan 1
3th 2010) to invest $250 million
in next three years to significantly simplify technology
environments via cloud computing

As business has become global in the true sense with
virtually no boundaries, it has become all the more
important for today’s enter
prises to have their operations
running 24 X 7. Even a few minutes downtime can result in
losses worth millions.

ud computing is an on
demand service model for IT
provision, and it is based on virtualization and distributed
computing technologies. Clo
ud computing architectures

highly abstracted resources

instant scalability and flexibility

near instantaneous provisioning

shared resources (hardware, database, memory, etc)

‘service on demand’, usually with a ‘pay as you go’
billing system

Programmatic management (ex, through WS API).

Private vs Public

Public Cloud:

Public Cloud: The cloud infrastructure is
made available to the general public or a large industry
group and is owned by an organization selling cloud


Awareness on Cloud Computing

Not Aware
Newsl etter March 2011

Vol ume 1 I ssue 1

services. These deliver the best economies of scale, but
their shared infrastructure model can limit configuration,
security, and SLA specificity, making them a less
ideal fit for services using sensitive data that is subject to
compliancy or safe har
bor regulations.

Private Cloud:

The cloud infrastructure is operated solely
for an organization. It may be managed by the
organization or a third party and may exist on premise or
off premise.

Hybrid Cloud:

The cloud infrastructure is a composition of
two or more clouds (private and public) that remain
unique entities but are bound together by standardized
or proprietary technology that enables data and
application portability (e.g., cloud bursting for load
balancing between clouds).

Effects of Cloud Computing Deployment Models

Small enterprises use public clouds and can
minimize the growth of datacenters in India

Large enterprises datacenters can evolve as
private clouds

Medium and large enterprises in Indi
a can also
use hybrid cloud infrastructure software to
leverage both internal and public clouds

Public clouds may adopt standards in order to
run workloads from competing hybrid cloud

When it comes to the distinction between public and
ivate cloud the lines are starting to blur as most of the
companies trying to figure out where they want to use
each type of cloud computing platform.

eProbe Research concluded a recent survey conducted
across 1500 companies in companies in India and we
ound that most companies in India are still investigating
the various forms of cloud computing.





Pay per use mode

Non critical applications are being used

Less secure

Slwer ( less bandwidth)

No in house IT staff



Less control on SLA’s

Shared infrastructure model

Key examples: Google, Microsoft and Amazon EC2

The budgets are being allocated for cloud computing in
2011 is on average and not all that substantial. The
average amount spent by small companies

was around
$900 per annum while medium sized businesses spent
almost $2000 per year, large enterprises spent around
$4900 per annum and very large enterprise spent around
$3600 per annum.

Currently, most of the
large enterprises in India prefer
private clouds. The public cloud is mostly aimed at the
consumer and small businesses. In India public cloud
market penetration currently is at 70%, private cloud is at
24% and hybrid Cloud at 6%.

The enterprise adoption o
f private cloud will accelerate
over the next five years and will boost opportunity for third
party data center outsourcing.

Emerging strategies for enterprise data centers
demonstrate private cloud will be fastest growing segment
in the enterprise market.

However migrating to cloud
services represents a new way of operating and will
require a change in the mindset by enterprise IT leaders.


Intranet facing

One time cost

Critical applications are used

More Secure

Faster ( Higher

Dedicated IT staff

Scalability constraints

More control and tighter SLAs

Owned exclusively by an organization

Key examples: eBay, Wipro and Cognizant

Address H
171 Sector 63, Noida

201301, UP,

India Tel:


4235170 e


visit us at : http://





Overall Cloud Computing Market Share