1. Subscription: Healthcare IT Siddharth Saha, Industry Analyst Healthcare London – April 29, 2004 European Computerised Physician Order Entry Systems Markets © 2003 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of Frost & Sullivan. No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan.

2. 2 1.Is CPOE the Next Big IT System in Healthcare ? 2.Current Market Scenario 3.Market Dynamics in Europe 4.Market Size 5.Market Opportunity in Europe 6.Competitive Structure 7.Questions European CPOE Market

3. 3 CPOE- The Next Big IT Solution in Healthcare ? Reports from the Institute of Medicine and the LeapFrog Group have documented losses arising from medical errors: CPOE- Documented to help reduce wasteful resource utilisation System enables cost avoidance Helps providers cope with staff shortages Speeds up the treatment process Aids in clinical decision making Benefits Physicians, Provider Organisations and Patients

4. 4 Current Market Scenario - Challenges Realising Value: Financial and Workflow Improvements Technology Challenges Adequacy of Existing Baseline Clinical Information Systems Adoption by the Medical Fraternity Complexities in Implementation

5. 5 Market Dynamics in Europe Market Drivers Pressure to Achieve Improved Workflow and Reduced Occurrences of Medical Errors Increased Efforts to Harness and Leverage Investment in Information Technology to Provide Better Quality of Care CPOE Contributes to Cost Avoidance Initiatives such as the HIMSS Conference Drives Awareness

6. 6 Market Dynamics in Europe (…continued) Market Restraints CPOE Requires Significant Investment in Hardware, Software, Implementation and Training CPOE Requires Access to a Clinical Data Repository of Patient Information and Integration with a Pharmacy System Slow Staff Changeover to Electronic Orders The Benefits for Physicians have not Outweighed the Difficulties Presented by the Systems

7. 7 Market Size - Europe 2003 revenues from CPOE systems was estimated to be $23.6 million going up to $137.0 million by 2010.

8. 8 Market Opportunity in Europe

9. 9 Competitive Structure - CPOE in Europe Major CPOE Vendor Categories: Healthcare Information Systems Vendors Multi-modality Equipment Companies Clinical Information Systems Companies

10. 10 Competitive Structure - CPOE in Europe

11. 11 Related Reports B273-50 European PACS Market Review B274-50 European PACS Professional Services Report B265-53 LIMS/LIS in Europe B323-48 European EMR Markets European Hospital Information Systems Markets European Market for Wireless Applications in Healthcare

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