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1462714

臨床文件改進(CDI)市場至2030年的預測：按產品、組件、部署方法、應用程式、最終用戶和地區的全球分析

Clinical Documentation Improvement Market Forecasts to 2030 - Global Analysis By Product, Component, Mode of Delivery, Application, End User and By Geography

出版日期: 2024年04月04日 | 出版商:

Stratistics Market Research Consulting | 英文 200+ Pages | 商品交期: 2-3個工作天內

價格

簡介目錄圖表

根據 Stratistics MRC 的資料，2023年全球臨床文件改進（CDI）市場規模將達到 45 億美元，預計到2030年將達到 87 億美元，預測期內年複合成長率為 9.9%。

臨床文件改進（CDI）是一個目的是提高醫療文件品質和準確性的過程，以反映患者的真實臨床狀況和所提供的護理。透過確保全面、準確的文件記錄，CDI 促進醫療保健提供者之間更好的溝通，提高償付目的的編碼準確性，並支援品質報告和遵守監管要求。透過教育、培訓和對病歷的持續審查，CDI 計畫致力於獲取完整、準確的臨床資訊，最終改善患者照護、結果和醫療保健資源利用率。

更重視醫療保健領域的收益週期管理（RCM）

RCM 是指與醫療申請和編碼相關的管理和業務流程。準確的臨床記錄對於正確的編碼和申請非常重要，確保醫療保健提供者的服務得到適當的補償。隨著降低醫療成本壓力的增加，醫療機構越來越注重改善 RCM。這推動了對臨床文件改進（CDI）解決方案的需求，以確保編碼準確並最大限度地降低否認風險。

IT基礎設施限制

IT基礎設施不足可能會阻礙無縫存取和整合不同來源的患者資料，例如電子健康記錄（EHR）、實驗室系統和影像系統。如果沒有強大的互通性能力，CDI 專業人員可能難以獲取準確記錄所需的全面患者資訊，導致記錄不完整或不準確，並可能阻礙市場成長。

對基於價值的護理的需求不斷成長

基於價值的護理模式優先考慮提供優質護理，以患者治療效果和滿意度來衡量，而不是根據所提供服務的數量來衡量。準確的臨床記錄不僅對於證明所提供護理的品質和有效性非常重要，而且對於支持績效指標和品質報告要求也非常重要。因此，對 CDI 解決方案的需求不斷成長，以確保臨床文件準確反映所提供的護理並支援基於價值的償付模式。

由於競爭激烈，原料的供應情況

對資料安全和隱私的擔憂可能會阻礙醫療機構採用電子文件系統或擴展現有系統來支援 CDI舉措。儘管效率、準確性和可存取性受到限制，但由於擔心保護敏感的患者訊息，組織可能會選擇繼續使用紙本或舊有系統進行記錄。此外，缺乏資料共用阻礙了臨床醫生、CDI 專業人員和其他相關人員之間致力於改進文件的協作，並且阻礙了準確編碼和申請所需的對患者記錄的全面審查和分析。

COVID-19 的影響

遠端醫療的使用增加、監管要求不斷變化，以及在不斷變化的醫療保健挑戰中支持護理服務和申請的準確文件的需求。隨著醫療保健提供者優先考慮全面的文件以實現準確的編碼、償付和品質報告，對 CDI 解決方案的需求激增。此外，疫情凸顯了資料和互通性的重要性，促使對先進 CDI 技術的投資，以提高文件準確性、效率和遠端協作。隨著醫療保健系統適應新常態，CDI 在最佳化臨床文件流程和支援基於價值的護理舉措方面發揮著非常重要的作用。

預計臨床文件化區隔在預測期內將是最大的

由於改進的臨床文件業務對於醫療機構的準確編碼、申請和償付非常重要，因此臨床文件領域預計將出現良好的成長。隨著醫療保健組織努力提高文件的準確性和完整性，對臨床文件改進（CDI）解決方案和服務的需求不斷成長，以幫助實現這些目標。對準確臨床記錄的日益重視推動臨床記錄改善（CDI）市場的成長。

收益週期管理領域預計在預測期內年複合成長率最高

預計收益周期管理領域在預測期內將以最高年複合成長率成長。臨床文件是醫療保健領域編碼和申請流程的基礎。不準確或不完整的文件可能會導致編碼錯誤、申請被拒絕和退款延遲。隨著醫療保健組織努力最佳化收益周期績效並最大化收益，提高臨床文件的準確性成為人們關注的焦點。這推動了對臨床文件改進（CDI）解決方案的需求，這些解決方案可識別文件差距、確保符合編碼指南並促進準確的編碼和申請流程。

佔有率最大的地區

由於電子健康記錄（EHR）和醫療保健 IT 系統的採用不斷增加，文件準確性和對監管要求的合規性不斷提高，預計亞太地區將在預測期內佔據最大的市場佔有率。此外，對基於價值的護理和品質結果的日益關注推動醫療保健提供者投資 CDI 計劃，以提高編碼準確性和償付完整性，為市場進入者創造利潤豐厚的機會。

年複合成長率最高的地區：

這是因為嚴格的監管要求，例如美國醫療保險和醫療補助服務中心（CMS）的要求，迫使醫療保健組織優先考慮準確的臨床文件以進行編碼、申請和償付。此外，向基於價值的護理模式的轉變強調了全面文件支持品質報告和績效指標的重要性。人工智慧和自然語言處理等技術進步透過自動化流程和提高效率徹底改變 CDI業務。

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公司簡介
- 其他市場參與者的綜合分析（最多3家公司）
- 主要企業SWOT分析（最多3家公司）
區域細分
- 根據客戶興趣對主要國家的市場估計、預測和年複合成長率（註：基於可行性檢查）
競爭基準化分析
- 根據產品系列、地理分佈和策略聯盟對主要企業基準化分析

北美洲
- 美國
- 加拿大
- 墨西哥
歐洲
- 德國
- 英國
- 義大利
- 法國
- 西班牙
- 其他歐洲國家
亞太地區
- 日本
- 中國
- 印度
- 澳洲
- 紐西蘭
- 韓國
- 其他亞太地區
南美洲
- 阿根廷
- 巴西
- 智利
- 南美洲其他地區
中東、非洲
- 沙烏地阿拉伯
- 阿拉伯聯合大公國
- 卡達
- 南非
- 其他中東和非洲

第11章主要進展

合約、夥伴關係、協作和合資企業
收購和合併
新產品發布
業務擴展
其他關鍵策略

第12章公司概況

3M Company
Cerner
Chartwise
Craneware
Dolbey Systems
Epic Systems
Flash Code
Iodine Software
NThrive
Nuance
Optum
Streamline Health
TruCode
Vitalware

簡介目錄圖表

Product Code: SMRC25765

According to Stratistics MRC, the Global Clinical Documentation Improvement Market is accounted for $4.5 billion in 2023 and is expected to reach $8.7 billion by 2030 growing at a CAGR of 9.9% during the forecast period. Clinical Documentation Improvement (CDI) is a process aimed at enhancing the quality and accuracy of medical documentation to reflect patients' true clinical conditions and care provided. By ensuring comprehensive and precise documentation, CDI facilitates better communication among healthcare providers, improves coding accuracy for reimbursement purposes, and supports quality reporting and compliance with regulatory requirements. Through education, training, and ongoing review of medical records, CDI programs strive to capture complete and accurate clinical information, ultimately improving patient care, outcomes, and healthcare resource utilization.

Market Dynamics:

Driver:

Increasing focus on revenue cycle management (RCM) in healthcare

RCM refers to the administrative and business processes associated with medical billing and coding. Accurate clinical documentation is essential for proper coding and billing, as it ensures that healthcare providers receive appropriate reimbursement for their services. With the increasing pressure to reduce healthcare costs, providers are increasingly focused on improving their RCM practices. This is driving the demand for clinical documentation improvement (CDI) solutions that can help to ensure accurate coding and minimize the risk of denials.

Restraint:

IT infrastructure limitations

Inadequate IT infrastructure may hinder the seamless access and integration of patient data from disparate sources, such as electronic health records (EHRs), laboratory systems, and imaging systems. Without robust interoperability capabilities, CDI specialists may struggle to access comprehensive patient information necessary for accurate documentation, leading to incomplete or inaccurate records hampering the growth of the market.

Opportunity:

Growing demand for value-based care

Value-based care models prioritize the delivery of high-quality care, measured by patient outcomes and satisfaction, rather than the volume of services provided. Accurate clinical documentation is essential for demonstrating the quality and effectiveness of care delivered, as well as for supporting performance metrics and quality reporting requirements. Consequently, there is an increased need for CDI solutions to ensure that clinical documentation accurately reflects the care provided and supports value-based reimbursement models.

Threat:

Availability of raw materials with intense competition

Concerns about data security and privacy may deter healthcare organizations from adopting electronic documentation systems or expanding existing systems to support CDI initiatives. Organizations may opt to continue using paper-based or legacy systems for documentation, despite their limitations in efficiency, accuracy, and accessibility, due to apprehensions about safeguarding sensitive patient information. Additionally lack of data sharing inhibits collaboration among clinicians, CDI specialists, and other stakeholders involved in documentation improvement efforts, hindering the comprehensive review and analysis of patient records necessary for accurate coding and billing.

Covid-19 Impact

Increased telehealth usage, shifting regulatory requirements, and the need for accurate documentation to support care delivery and billing amidst evolving healthcare challenges. Demand for CDI solutions surged as healthcare providers prioritized comprehensive documentation for accurate coding, reimbursement, and quality reporting. Additionally, the pandemic highlighted the importance of data integrity and interoperability, prompting investments in advanced CDI technologies to enhance documentation accuracy, efficiency, and remote collaboration. As healthcare systems adapt to the new normal, CDI remains pivotal in optimizing clinical documentation processes and supporting value-based care initiatives.

The clinical documentation segment is expected to be the largest during the forecast period

The clinical documentation segment is estimated to have a lucrative growth, because improving clinical documentation practices is essential for accurate coding, billing, and reimbursement in healthcare facilities. As healthcare organizations strive to enhance documentation accuracy and completeness, there is a growing demand for clinical documentation improvement solutions and services that can help achieve these goals. Thus, an increase in the emphasis on precise clinical documentation drives the growth of the clinical documentation improvement market.

The revenue cycle management segment is expected to have the highest CAGR during the forecast period

The revenue cycle management segment is anticipated to witness the highest CAGR growth during the forecast period, clinical documentation serves as the foundation for coding and billing processes in healthcare. Inaccurate or incomplete documentation can result in coding errors, claim denials, and delayed reimbursement. As healthcare organizations strive to optimize revenue cycle performance and maximize revenue capture, there is an increased focus on improving clinical documentation accuracy. This drives the demand for clinical documentation improvement solutions that help identify documentation gaps, ensure compliance with coding guidelines, and facilitate accurate coding and billing processes.

Region with largest share:

Asia Pacific is projected to hold the largest market share during the forecast period owing to the increased adoption of electronic health records (EHRs) and healthcare IT systems across the region is driving the demand for CDI solutions to improve documentation accuracy and compliance with regulatory requirements. Moreover, the growing focus on value-based care and quality outcomes is prompting healthcare providers to invest in CDI programs to enhance coding accuracy and reimbursement integrity creates lucrative opportunities for market players.

Region with highest CAGR:

North America is projected to have the highest CAGR over the forecast period, owing to stringent regulatory requirements, such as those from the Centers for Medicare and Medicaid Services (CMS) in the United States are compelling healthcare organizations to prioritize accurate clinical documentation for coding, billing, and reimbursement purposes. Additionally, the transition to value-based care models emphasizes the importance of comprehensive documentation to support quality reporting and performance metrics. Technological advancements, including artificial intelligence and natural language processing, are revolutionizing CDI practices by automating processes and enhancing efficiency.

Key players in the market

Some of the key players in the Clinical Documentation Improvement Market include 3M Company, Cerner, Chartwise, Craneware, Dolbey Systems, Epic Systems, Flash Code, Iodine Software, NThrive, Nuance, Optum, Streamline Health, TruCode and Vitalware

Key Developments:

In March 2024, 3M and HD Hyundai KSOE to collaborate on joint research project to help insulate liquid hydrogen storage tanks. The collaborative research will focus on developing a high-performance vacuum insulation system for liquified hydrogen storage and transportation.

In October 2023, ProHealth Care and Optum Launch Strategic Relationship to Enhance the Health Care Experience for ProHealth Patients. Through the relationship, Optum will assume responsibility for ProHealth Care's revenue cycle management, information technology, informatics, analytics and inpatient care management.

In May 2023, 3M and Svante announce joint development agreement to develop and produce carbon dioxide removal products, driving their shared commitment to find materials science-based solutions to achieve net-zero emissions and combat global warming.

Products Covered:

Clinical Coding
Clinical Documentation
Charge Capture Solutions
Pre-Bill Review
Diagnosis-Related Grouping
Other Products

Components Covered:

Solution
Service

Mode of Deliveries Covered:

Cloud-Based
On-Premise

Applications Covered:

Health Information Management
Revenue Cycle Management
Skilled Nursing Facilities
Efficient Workflow Management
Data Analytics & Reporting
Quality Improvement Initiatives
Other Applications

End Users Covered:

Clinics
Hospitals
Ambulatory Surgical Centers
Long-Term Care Facilities
Healthcare Consulting Firms
Academic Institutions
Other End Users

Regions Covered:

North America
- US
- Canada
- Mexico
Europe
- Germany
- UK
- Italy
- France
- Spain
- Rest of Europe
Asia Pacific
- Japan
- China
- India
- Australia
- New Zealand
- South Korea
- Rest of Asia Pacific
South America
- Argentina
- Brazil
- Chile
- Rest of South America
Middle East & Africa
- Saudi Arabia
- UAE
- Qatar
- South Africa
- Rest of Middle East & Africa

What our report offers:

Market share assessments for the regional and country-level segments
Strategic recommendations for the new entrants
Covers Market data for the years 2021, 2022, 2023, 2026, and 2030
Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)
Strategic recommendations in key business segments based on the market estimations
Competitive landscaping mapping the key common trends
Company profiling with detailed strategies, financials, and recent developments
Supply chain trends mapping the latest technological advancements

Free Customization Offerings:

All the customers of this report will be entitled to receive one of the following free customization options:

Company Profiling
- Comprehensive profiling of additional market players (up to 3)
- SWOT Analysis of key players (up to 3)
Regional Segmentation
- Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
Competitive Benchmarking
- Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

1 Executive Summary

2 Preface

2.1 Abstract
2.2 Stake Holders
2.3 Research Scope
2.4 Research Methodology
- 2.4.1 Data Mining
- 2.4.2 Data Analysis
- 2.4.3 Data Validation
- 2.4.4 Research Approach
2.5 Research Sources
- 2.5.1 Primary Research Sources
- 2.5.2 Secondary Research Sources
- 2.5.3 Assumptions

3 Market Trend Analysis

3.1 Introduction
3.2 Drivers
3.3 Restraints
3.4 Opportunities
3.5 Threats
3.6 Product Analysis
3.7 Application Analysis
3.8 End User Analysis
3.9 Emerging Markets
3.10 Impact of Covid-19

4 Porters Five Force Analysis

4.1 Bargaining power of suppliers
4.2 Bargaining power of buyers
4.3 Threat of substitutes
4.4 Threat of new entrants
4.5 Competitive rivalry

5 Global Clinical Documentation Improvement Market, By Product

5.1 Introduction
5.2 Clinical Coding
5.3 Clinical Documentation
5.4 Charge Capture Solutions
5.5 Pre-Bill Review
5.6 Diagnosis-Related Grouping
5.7 Other Products

6 Global Clinical Documentation Improvement Market, By Component

6.1 Introduction
6.2 Solution
- 6.2.1 Clinical Documentation Training Programs
- 6.2.2 Clinical Documentation Review Software
- 6.2.3 Clinical Documentation Software Solutions
- 6.2.4 Clinical Documentation Improvement Tools
6.3 Service
- 6.3.1 Outsourcing Services
- 6.3.2 Consulting Services
- 6.3.3 Clinical Documentation Improvement Training Materials

7 Global Clinical Documentation Improvement Market, By Mode of Delivery

7.1 Introduction
7.2 Cloud-Based
7.3 On-Premise

8 Global Clinical Documentation Improvement Market, By Application

8.1 Introduction
8.2 Health Information Management
8.3 Revenue Cycle Management
8.4 Skilled Nursing Facilities
8.5 Efficient Workflow Management
8.6 Data Analytics & Reporting
8.7 Quality Improvement Initiatives
8.8 Other Applications

9 Global Clinical Documentation Improvement Market, By End User

9.1 Introduction
9.2 Clinics
9.3 Hospitals
9.4 Ambulatory Surgical Centers
9.5 Long-Term Care Facilities
9.6 Healthcare Consulting Firms
9.7 Academic Institutions
9.8 Other End Users

10 Global Clinical Documentation Improvement Market, By Geography

10.1 Introduction
10.2 North America
- 10.2.1 US
- 10.2.2 Canada
- 10.2.3 Mexico
10.3 Europe
- 10.3.1 Germany
- 10.3.2 UK
- 10.3.3 Italy
- 10.3.4 France
- 10.3.5 Spain
- 10.3.6 Rest of Europe
10.4 Asia Pacific
- 10.4.1 Japan
- 10.4.2 China
- 10.4.3 India
- 10.4.4 Australia
- 10.4.5 New Zealand
- 10.4.6 South Korea
- 10.4.7 Rest of Asia Pacific
10.5 South America
- 10.5.1 Argentina
- 10.5.2 Brazil
- 10.5.3 Chile
- 10.5.4 Rest of South America
10.6 Middle East & Africa
- 10.6.1 Saudi Arabia
- 10.6.2 UAE
- 10.6.3 Qatar
- 10.6.4 South Africa
- 10.6.5 Rest of Middle East & Africa

11 Key Developments

11.1 Agreements, Partnerships, Collaborations and Joint Ventures
11.2 Acquisitions & Mergers
11.3 New Product Launch
11.4 Expansions
11.5 Other Key Strategies

12 Company Profiling

12.1 3M Company
12.2 Cerner
12.3 Chartwise
12.4 Craneware
12.5 Dolbey Systems
12.6 Epic Systems
12.7 Flash Code
12.8 Iodine Software
12.9 NThrive
12.10 Nuance
12.11 Optum
12.12 Streamline Health
12.13 TruCode
12.14 Vitalware

簡介目錄圖表

List of Tables

Table 1 Global Clinical Documentation Improvement Market Outlook, By Region (2021-2030) ($MN)
Table 2 Global Clinical Documentation Improvement Market Outlook, By Product (2021-2030) ($MN)
Table 3 Global Clinical Documentation Improvement Market Outlook, By Clinical Coding (2021-2030) ($MN)
Table 4 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation (2021-2030) ($MN)
Table 5 Global Clinical Documentation Improvement Market Outlook, By Charge Capture Solutions (2021-2030) ($MN)
Table 6 Global Clinical Documentation Improvement Market Outlook, By Pre-Bill Review (2021-2030) ($MN)
Table 7 Global Clinical Documentation Improvement Market Outlook, By Diagnosis-Related Grouping (2021-2030) ($MN)
Table 8 Global Clinical Documentation Improvement Market Outlook, By Other Products (2021-2030) ($MN)
Table 9 Global Clinical Documentation Improvement Market Outlook, By Component (2021-2030) ($MN)
Table 10 Global Clinical Documentation Improvement Market Outlook, By Solution (2021-2030) ($MN)
Table 11 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Training Programs (2021-2030) ($MN)
Table 12 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Review Software (2021-2030) ($MN)
Table 13 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Software Solutions (2021-2030) ($MN)
Table 14 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Improvement Tools (2021-2030) ($MN)
Table 15 Global Clinical Documentation Improvement Market Outlook, By Service (2021-2030) ($MN)
Table 16 Global Clinical Documentation Improvement Market Outlook, By Outsourcing Services (2021-2030) ($MN)
Table 17 Global Clinical Documentation Improvement Market Outlook, By Consulting Services (2021-2030) ($MN)
Table 18 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Improvement Training Materials (2021-2030) ($MN)
Table 19 Global Clinical Documentation Improvement Market Outlook, By Mode of Delivery (2021-2030) ($MN)
Table 20 Global Clinical Documentation Improvement Market Outlook, By Cloud-Based (2021-2030) ($MN)
Table 21 Global Clinical Documentation Improvement Market Outlook, By On-Premise (2021-2030) ($MN)
Table 22 Global Clinical Documentation Improvement Market Outlook, By Application (2021-2030) ($MN)
Table 23 Global Clinical Documentation Improvement Market Outlook, By Health Information Management (2021-2030) ($MN)
Table 24 Global Clinical Documentation Improvement Market Outlook, By Revenue Cycle Management (2021-2030) ($MN)
Table 25 Global Clinical Documentation Improvement Market Outlook, By Skilled Nursing Facilities (2021-2030) ($MN)
Table 26 Global Clinical Documentation Improvement Market Outlook, By Efficient Workflow Management (2021-2030) ($MN)
Table 27 Global Clinical Documentation Improvement Market Outlook, By Data Analytics & Reporting (2021-2030) ($MN)
Table 28 Global Clinical Documentation Improvement Market Outlook, By Quality Improvement Initiatives (2021-2030) ($MN)
Table 29 Global Clinical Documentation Improvement Market Outlook, By Other Applications (2021-2030) ($MN)
Table 30 Global Clinical Documentation Improvement Market Outlook, By End User (2021-2030) ($MN)
Table 31 Global Clinical Documentation Improvement Market Outlook, By Clinics (2021-2030) ($MN)
Table 32 Global Clinical Documentation Improvement Market Outlook, By Hospitals (2021-2030) ($MN)
Table 33 Global Clinical Documentation Improvement Market Outlook, By Ambulatory Surgical Centers (2021-2030) ($MN)
Table 34 Global Clinical Documentation Improvement Market Outlook, By Long-Term Care Facilities (2021-2030) ($MN)
Table 35 Global Clinical Documentation Improvement Market Outlook, By Healthcare Consulting Firms (2021-2030) ($MN)
Table 36 Global Clinical Documentation Improvement Market Outlook, By Academic Institutions (2021-2030) ($MN)
Table 37 Global Clinical Documentation Improvement Market Outlook, By Other End Users (2021-2030) ($MN)