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The Healthcare Informatics 100 Product Breakouts: Data Exchange

June 28, 2016
by the Editors of Healthcare Informatics
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Editor’s Note: Each year, Healthcare Informatics ranks the 100 vendors with the highest revenues derived from healthcare IT products and services earned in the U.S. based on revenue information from the previous year. This year, however, for the first time ever, vendors were also asked to estimate the percentage of revenue earned in all of their product segments. For the vendors that filled out the product revenue data, those percentages were displayed in pie chart form within each listing.

Beyond presenting the product segment revenues in each company listing, Healthcare Informatics editors wanted to further breakdown the top revenue earners in each of our seven segments: Financial Information Systems, Clinical Information Systems, Data Analytics, Data Management, Data Security, Data Exchange, and Consulting Services.

Throughout the next several days, Healthcare Informatics will reveal its top 5 companies by revenue—based on percentage of total health IT revenue—within these seven different categories. Serving as a supplement to the broader Healthcare Informatics 100 list, we hope that this data, along with the brief content that accompanies it, gives you our readers, a greater sense into the latest market trends within each of these respective product categories.

All data has been sent to Healthcare Informatics from the vendors themselves and confirmed by each company.

According to Mark Pasquale, a principal in the informatics and technology practice within The Chartis Group, a Chicago-based consulting firm, the ability to share patient records between providers using current interoperability standards is improving. 

“Recent successes can be attributed to the ability of health information exchanges (HIEs) to mitigate electronic health record (EHR) vendor interpretations of CDA document types (including the CCD) as well as the nuances between the interpretations of the Integrating the Healthcare Enterprise (IHE) standards.” And, he says, private HIE efforts have also grown as health systems primarily in common geographical regions have come together to coordinate the exchange of health information among their providers. 

“Many of the EHR vendors have also contributed to this progress by continually expanding upon the information originally required to meet Meaningful Use standards into a more comprehensive exchange of each patient’s information.”

With that said, however, vendor investments in clinical workflow and standardization, in particular, will help to improve data exchange, he says. For instance, access to health information by clinicians from external sources needs to be streamlined and incorporated into clinicians’ normal workflow when utilizing an EHR.

“Standardization of the IHE standards as well as the document types exchanged within the CDA architecture is important in order to display data in a standard way that can be accessed by the clinician,” he says. As one example, interoperability standards need to support the exchange of all CDA document types, including the CCD (summary of care) required for Meaningful Use in addition to other documents that include history and physical (H&P), operation notes and discharge summary. 

“The continued maturation of Fast Healthcare Interoperability Resources (FHIR) will also help,” Pasquale says.


Top 5 Data Exchange Vendors by Revenue

Vendor Product Breakout Revenue % Of Whole Revenue
CIOX Health $385,700,000 70%
Change Healthcare $369,270,750 25%
Softheon $100,000,000 25%
Orion Health $64,353,600 60%
Perficient, Inc $61,105,000 55%