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November 1, 2013 Volume 77, Number 11
2013 AIMS Market Update Jerry Stonemetz, M.D.


This article represents the fourth year we have compiled market penetration numbers for installations of anesthesia information management systems (AIMS).1-3 As in past publications, we contacted 12 AIMS vendors (Table 1) who sell products in the United States and have at least one complete system at one hospital. We are unaware of any other vendors who meet this qualification, and if we have omitted anyone, we sincerely apologize. As in previous publications, we have omitted the surgical center market.

 

As previously, we segregated these vendors into three categories. The first group is vendors that sell an AIMS as well as clinical monitors or anesthesia machines. The second group represents vendors that sell an AIMS and also sell O.R. management systems (ORMS). The final group is vendors that sell exclusively AIMS. Tables 2, 3 and 4 represent the reported numbers from each vendor of number of hospitals where the system is “live,” “under implementation” and “under contract”; whereby the “under contract” number is presumed to indicate hospitals that have purchased a system but have not yet begun to implement it.

 

Aggregating this data provides us a consolidated view of the market penetration of AIMS. Using the number of 5,724 U.S. hospitals as the potential market provided by the American Hospital Association (AHA), we now have a market penetration of 34.85 percent actual sites with systems live or under implementation. As we reported last year, the total market, including “sold but not implemented” or under contract, is now at 46.9 percent. Again, it remains to be seen how many of the actual contracted sites will convert to live sites; however, these numbers represent a staggering 91.5 percent increase over last year in live sites and a 42 percent increase in contracted sites over last year – an increase of almost 100 percent in the market year over year!

 

Using the same methodology as last year, we present recently reported hospital statistics from the AHA. Table 5 (page 30) represents a composite of these statistics, which were derived from the AHA Hospital Statistics, 2013 edition, and are reprinted with permission from Health Forum LLC, an American Hospital Association company.

 

Note that there are more than 1,700 hospitals with under 50 beds and 431 psychiatric hospitals that do very little surgery. It could be argued that these facilities will be very late adopters of an AIMS unless it were included in a hospital information system (HIS), such as Epic or Cerner. However, these two vendors do not typically market to hospitals of this size, and consequently they will likely remain on paper for the foreseeable future. If we exclude this population from our calculations, we have an adjusted number of potential customers of 3,532 hospitals. This now represents a market penetration of 56.4 percent of live sites and 75.9 percent under contract. From this perspective, we could claim that more than three quarters of realistic customers now are under contract for an AIMS.

 

Wikipedia defines “market share” as “the percentage of a market accounted for by a specific entity.” It also defines a unit market share as “the units sold by a particular company as a percentage of total market sales [Unit Market Share (%) = 100*Unit sales (#)/Total Market Unit sales (#)].”4 Looking at our data, we find some interesting facts compared to last year. The largest growth has occurred within the group of vendors who sell AIMS integrated with ORMS and Hospital Information Systems. This group currently represents 77.54 percent of all units sold and had an explosive 209 percent increase in market penetration over last year (live sites). Additionally, there has been a dramatic conversion from “sold but not begun implementation” into “live or under implementation” sites.

 

In speaking to most vendors, they cite the shift to electronic records as being driven primarily by “meaningful use” dollars. It appears as though the AIMS market is expanding right along with other clinical systems.

 

Table 1: AIMS Vendors

Vendor

URL

General Electric

http://www3.gehealthcare.com/en/Products/Categories/Healthcare_IT/Departmentals

Draeger

http://www.draeger.us/sites/enus_us/Pages/Hospital/

Philips

http://www.healthcare.philips.com/us_en/products/patient_monitoring/products/intellispace_cca

Picis

http://www.picis.com/solutions/perioperative%20services/anesthesia%20manager

McKesson

http://www.mckesson.com

Cerner

http://www.cerner.com/solutions/Hospitals_and_Health_Systems/Perioperative/

Epic

http://www.epic.com/software-ancillaries.php

Surgical Information Systems

http://www.sisfirst.com/solutions/anesthesia.html

Merge

http://www.merge.com/Solutions/Perioperative/Merge-AIMS.aspx

iMDSoft

http://www.imd-soft.com/perioperative-care

Acuitec

http://acuitec.com/solutions-for/anesthesia/

Plexus

http://www.plexusis.com/products.aspx


 

Table 2: Vendors Who Sell AIMS Integrated with Clinical Monitors or Anesthesia Machines

Vendor

Number Live AIMS Sites (U.S.)

Number Under Implementation

Number Under Contract

Number Sold/Not Begun Implementation

GE/Draeger/Philips

257

60

330

13


 

Table 3: Vendors Who Sell AIMS Integrated with ORMS

Vendor

Number Live AIMS Sites (U.S.)

Number Under Implementation

Number Under Contract

Number Sold/Not Begun Implementation

Picis/McKesson/SIS/

Cerner/Epic

833

714

2,208

661


 

Table 4: Vendors Who Sell Exclusively AIMS

Vendor

Number Live AIMS Sites (U.S.)

Number Under Implementation

Number Under Contract

Number Sold/Not Begun Implementation

Merge/iMDSoft/

Acuitec/Plexus

95

36

145

14


 

Table 5: 2013 AHA Hospital Data

Classification

# of Hospitals

Surgical Operations

All Hospitals

5,724

27,599,912

6-24 Beds

489

316,133

25-49 Beds

1,272

1,376,984

50-99 Beds

1,173

2,165,122

100-199 Beds

1,200

5,180,716

200-299 Beds

675

4,902,642

300-399 Beds

402

4,136,672

400-499 Beds

199

2,780,352

500 or more Beds

314

6,741,291

Psychiatric Hospitals

431

17,455


 



Jerry Stonemetz, M.D., is Clinical Associate, Anesthesia and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, Maryland. 



References:

1. Stonemetz J. Market penetration of AIMS. ASA Newsl. 2010;74(2):40-41.

2. Stonemetz J, Schubert A. AIMS. ASA Newsl. 2011;75(6):10-12.

3. Stonemetz J. AIMS Market Update” ASA Newsl. 2012;76(10):34-35,39.

4. Market penetration. Wikipedia website. http://en.wikipedia.org/wiki/Market_penetration. Accessed August 24, 2013.

 


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