| LEXINGTON, Massachusetts (January 11, 2010) | | | | 4.6.7 Regulatory Requirements 4-23 |
| – Telemedicine equipment, information | | | | 4.6.8 Atrial Fibrillation 4-23 |
| software, and services. The 2010 study has 669 | | | | 4.6.9 Atrial Fibrillation Printout 4-25 |
| pages, 205 tables and figures. Worldwide markets | | | | 4.6.10 Increased Risk of Stroke 4-26 |
| are poised to achieve significant growth as the | | | | 4.7 Real Time Locating System (RTLS) 4-26 |
| healthcare providers worldwide move to more | | | | 4.8 Technological Trends 4-28 |
| cost efficient healthcare modalities leveraging | | | | 4.8.1 Thin Film Lithium And Lithium Ion Batteries |
| telemedicine. Vendors are building out localized | | | | 4-28 |
| direct physician based services organizations, | | | | 4.8.2 Thin Film Battery Market Driving Forces 4-29 |
| distribution partnerships, and e-commerce sites | | | | 4.9 Thin Film Solid-State Battery Construction |
| that support a telemedicine brand in every region. | | | | 4-30 |
| Telemedicine is more cost efficient than nursing | | | | 4.10 Science And Medical Technology 4-31 |
| home or hospital care, every patient would rather | | | | 4.10.1 Physical Therapy 4-32 |
| stay at home if possible. As new telemedicine | | | | 4.10.2 Treatment Trends 4-32 |
| equipment and services proliferate in the U.S. and | | | | 5. TELEMEDICINE COMPANY PROFILES 5-1 |
| worldwide, more and more vital signs based | | | | 5.1 Aerotel Medical Systems 5-1 |
| healthcare delivery is being implemented. | | | | 5.1.1 Aerotel Medical Systems / Tadiran LifeCare |
| Healthcare delivery systems are moving towards | | | | 5-2 |
| a quantum shift in care delivery. Technology | | | | 5.1.2 Aerotel Medical Systems Mobile-CliniQ™ - |
| provides a way to sense and monitor heart | | | | Affordable Personal Mobile Health Solution 5-3 |
| disease, inflammation, infection, cancer, diabetic | | | | 5.1.3 Aerotel Medical Systems Connect-Cell™ - |
| condition, and chronic condition status using | | | | Cellular-Based Telemedicine Data Hub 5-3 |
| technology. This represents a quantum shift in | | | | 5.2 AMD Global Telemedicine 5-4 |
| care diagnosis. The old methods of verbal | | | | 5.2.1 AMD Global Telemedicine Director of Clinical |
| description that the physician rarely listens to and | | | | training 5-5 |
| in person visual inspection are becoming less | | | | 5.3 American Heartcare Limited AHL 5-5 |
| important. The monitoring technologies and blood | | | | 5.4 Apollo Telemedicine Networking Foundation 5-6 |
| work are being used in combination with imaging | | | | 5.5 Authentidate Holding 5-8 |
| and telemetrics to provide a real time, continuous | | | | 5.6 Bosch Group 5-10 |
| evaluation of patient condition. | | | | 5.6.1 Bosch Group / Health Hero Network 5-10 |
| This leads to care delivery by the numbers. | | | | 5.6.2 Bosch Group / ViTel Net 5-11 |
| Few people describe themselves as old or | | | | 5.6.3 Bosch / ViTelNet Range Of Services 5-11 |
| sick—regardless of their age or health. We are | | | | 5.6.4 Bosch Group Charitable Ownership 5-12 |
| moving toward care delivery by the numbers in | | | | 5.6.5 Bosch Group Healthcare 5-13 |
| combination with physical examination in person or | | | | 5.6.6 Bosch Health Hero Network 5-13 |
| over the HD TV. HD TV gives a quick, vivid | | | | 5.6.7 Bosch Group Sales Revenue 5-14 |
| image of where a person hurts and what they | | | | 5.6.8 Bosch Automotive Technology sales 5-15 |
| look like. The new sensor technology gives | | | | 5.6.9 Bosch Industrial Technology Sales 5-16 |
| physicians visibility inside a person that is not | | | | 5.6.10 Bosch Consumer Goods and Building |
| available from a simple verbal description. | | | | Technology Sales 5-18 |
| Telemedicine can supplement information available | | | | 5.7 Cardiocom 5-19 |
| from a physical examination by making care | | | | 5.7.1 Cardiocom Telemonitoring System 5-20 |
| delivery a available. Telemedicine is able to | | | | 5.7.2 Cardiocom Telemonitoring Used By Major |
| supplement traditional care. Telemedicine is | | | | Managed Care Organizations 5-21 |
| extending monitoring into wellness tracking. The | | | | 5.8 Cardionet 5-22 |
| ability to visualize patient condition through blood | | | | 5.8.1 CardioNet Positioning 5-26 |
| work, monitors, sensors, imaging, and biometrics | | | | 5.8.2 CardioNet Acquisition—PDSHeart, Inc. 5-30 |
| changes everything. | | | | 5.9 Cincom Systems 5-30 |
| It is labor that is costly, not the imaging or the | | | | 5.10 Cisco 5-34 |
| monitors. The automated process needs to be | | | | 5.10.1 Cisco Strategy and Focus Areas 5-34 |
| leveraged to reduce the labor costs by 90%, | | | | 5.11 Contec 5-37 |
| leveraging technology to provide consistent care. | | | | 5.11.1 Contec Medical Group 5-38 |
| The systems need to be automated to the point | | | | 5.12 EHTEL eHealth 5-44 |
| where the patients and their families can provide | | | | 5.12.1 EHTEL Structure 5-45 |
| accurate diagnostic information to the clinician, | | | | 5.13 GE 5-45 |
| who by definition is the decision maker, not the | | | | 5.13.1 General Electric Revenues 5-47 |
| care provider. The telemedicine is able to address | | | | 5.13.2 GE Healthcare 5-47 |
| the need to decrease labor costs. | | | | 5.14 GenerationOne 5-49 |
| Labor costs need to be removed from every | | | | 5.14.1 GenerationOne Mobile Collaborative Care |
| step of the diagnostic process. The imaging | | | | Solution 5-50 |
| machines need to be automated more. The | | | | 5.14.2 GenerationOne / FireFly Mobile 5-52 |
| sensing devices need to be able to take readings | | | | 5.14.3 GenesisHealthTechnologies / HealthPia 5-53 |
| and send them to the automated patient record | | | | 5.15 HeartIT 5-54 |
| without human intervention. | | | | 5.16 Hewlett-Packard / 3Com 5-55 |
| New telemedicine devices do just this. | | | | 5.16.1 HP Full Year Fiscal 2009 5-55 |
| Inflammation can be detected using a handheld | | | | 5.16.2 Hewlett Packard (HP) / 3Com Corporation |
| biometric device. Cardiac symptoms can be | | | | 5-57 |
| detected automatically, just by placing a device in | | | | 5.16.3 3Com Corporation 5-58 |
| the proper position, no buttons to push, no | | | | 5.16.4 3Com Healthcare Customers 5-59 |
| screens to navigate. | | | | 5.17 Honeywell 5-60 |
| In this context it has formalized a vision of the | | | | 5.18 IBM 5-62 |
| evolution of healthcare economic models. It is | | | | 5.18.1 IBM Business Partnering Strategy 5-63 |
| looking towards the transformation of the | | | | 5.18.2 IBM Strategic Priorities 5-64 |
| healthcare delivery systems in response to | | | | 5.18.3 IBM BPM Powered By Smart SOA 5-66 |
| increasing responsibility of systems administrators | | | | 5.18.4 IBM Delivers Integration and Innovation to |
| to deliver quality care efficiently. C‐healthcare | | | | Clients 5-66 |
| 2020® looks toward cost containment trends. | | | | 5.18.5 IBM Business Model 5-67 |
| These are playing out in the context of industry | | | | 5.18.6 IBM Unified Communications In The Cloud |
| and professional efforts to improve the quality of | | | | Architecture 5-68 |
| care delivery: | | | | 5.18.7 IBM LotusLive Cloud-Based Portfolio Of |
| 1. Leverage automated process in the same way | | | | Social Networking And Collaboration Services 5-70 |
| other industries have. Leverage cloud computing | | | | 5.18.8 IBM Revenue 5-71 |
| and System z mainframe computing to lower | | | | 5.18.9 IBM Q1 2009 Revenue 5-78 |
| care delivery costs while improving the quality by | | | | 5.18.10 IBM Q2 2009 Revenue 5-79 |
| quantum amounts. | | | | 5.18.11 IBM Software Capabilities 5-80 |
| 2. Consolidate health care delivery systems in a | | | | 5.18.12 IBM Systems and Technology Capabilities |
| manner that is able to achieve effective, efficient | | | | 5-82 |
| communication between caregivers. | | | | 5.18.13 IBM Worldwide Organizations 5-83 |
| 3. Stop rewarding hospitals and physicians for | | | | 5.18.14 IBM Integrated Supply Chain 5-83 |
| over delivery of care and change. Move to care | | | | 5.18.15 IBM Security 5-84 |
| delivery systems that allow treatment of patients | | | | 5.18.16 Financing Makes the IBM System z More |
| by the numbers combined with intelligent caring | | | | Efficient 5-87 |
| care. This is particularly true with the high cost | | | | 5.19 IgeaCare Solutions 5-89 |
| profit center emergency room, get those costs | | | | 5.19.1 IgeaCare Telephony Based Communication |
| way down. | | | | Systems 5-90 |
| 4. Support the extended health care delivery | | | | 5.20 Intel 5-91 |
| systems that support healthy behaviors, including | | | | 5.20.1 Intel Operating Segments 5-92 |
| the acupuncture practitioners, chiropractors, and | | | | 5.20.2 Intel / Wind River 5-93 |
| sports clubs. | | | | 5.20.3 Intel Silicon Innovation 5-94 |
| 5. Support Telemedicine and specialized intelligent | | | | 5.21 LifeSync Corp. 5-96 |
| support systems that permit leaving people in | | | | 5.22 Lifewatch 5-98 |
| their own homes even if they cannot take care | | | | 5.22.1 LifeWatch Revenue 5-102 |
| of every aspect of their life. Help old people take | | | | 5.23 MedApps, Inc. 5-103 |
| out the trash, sand the driveway when it snows, | | | | 5.23.1 MedApps Personal Health Device 5-105 |
| clean up the junk, help with the simple stuff that | | | | 5.23.2 MedApps Receives FDA Clearance on a |
| seems overwhelming to old people. | | | | New Way to Bring Cost-Effective Remote Health |
| 6. Reward families for providing care support to | | | | Monitoring 5-105 |
| extended family members, these do not need to | | | | 5.23.3 MedApps Innovative Solutions 5-106 |
| be financial rewards in every instance, maybe | | | | 5.24 Mednet Healthcare Technologies 5-107 |
| they are special recognition banquets and letters | | | | 5.25 NuPhysicia LLC 5-107 |
| of commendation. | | | | 5.25.1 NuPhysicia Telemedicine Programs 5-108 |
| 7. Implement systems that stimulate and reward | | | | 5.26 OCS 5-108 |
| patients for exercising and taking care of | | | | 5.27 Philips 5-109 |
| themselves in every way. | | | | 5.27.1 Philips Healthcare 5-110 |
| 8. Implement computer assisted coding in a | | | | 5.27.2 Philips Key Revenue Data 5-112 |
| manner that allows automated transcription of | | | | 5.28 Pelham Sloane 5-113 |
| physician and clinician notes into the electronic | | | | 5.29 Polycom 5-113 |
| patient record; utilize the clinician notes, blood | | | | 5.29.1 Polycom Telemedicine Products and |
| work, and diagnostic test results to provide | | | | Services: 5-114 |
| tracking and reminding of conditions that need | | | | 5.29.2 Polycom And AMD Global Telemedicine |
| follow‐up after a specified length of time. | | | | Delivers |
| 9. Use patient systems that are efficient. | | | | Integrated Visual And Voice Telehealth Capability |
| 10. Implement telemedicine. | | | | To Clinicians 5-115 |
| Challenged with declining reimbursements, a | | | | 5.30 ProInfoNet 5-117 |
| nursing shortage and low productivity even as | | | | 5.30.1 New England Telehealth Consortium 5-117 |
| new agencies open, there has been significant | | | | 5.30.2 ProInfoNet Web development And Market |
| industry consolidation. Automated process brought | | | | Research 5-121 |
| by Telemedicine information systems addresses | | | | 5.31 Rivulet 5-121 |
| management team issues. Existing providers need | | | | 5.31.1 Rivulet Telemedicine 5-123 |
| to improve overall operations to address these | | | | 5.32 SHL Telemedicine Ltd. 5-124 |
| issues. | | | | 5.33 Siemens 5-126 |
| Several new studies provide large‐scale, | | | | 5.33.1 Siemens Comprehensive Healthcare 5-126 |
| independent, quantified proof of the value of | | | | 5.33.2 Siemens Computed Tomography (CT) |
| healthcare information technology have. Users can | | | | 5-127 |
| utilize the scheduling notes to alert other staff of | | | | 5.33.3 Siemens Combines Imaging Systems And |
| patient preferences or supplies needed in the | | | | Evaluation |
| home. Maestro intuitive process flow provides | | | | Software And Bundle Them Into A Complete |
| users with many reminders, including when a | | | | Client- |
| patient is out of orders, when a supervisory visit | | | | Server Solution 5-130 |
| is required, or when a procedure needs to be | | | | 5.33.4 Siemens Molecular imaging meets computed |
| completed during a visit. | | | | tomography 5-130 |
| Telemedicine Information systems are a | | | | 5.34 Karl Storz Endoscopy-America / Global Care |
| significant part of the home care delivery | | | | Quest 5-131 |
| systems. Software leverages the efficiency of | | | | 5.35 Suntech 5-131 |
| clinical process in ways that have never become | | | | 5.35.1 SunTech Medical Development & |
| possible before. The system leverages virtually all | | | | Acquisition Plans 5-132 |
| the administrative and financial information needed | | | | 5.36 Voxiva 5-134 |
| to run a successful home care company. | | | | 5.37 Wolters Kluwer Health 5-135 |
| Information can be gathered right from the | | | | 5.37.1 Wolters Kluwer Health 5-136 |
| charts. | | | | 5.37.2 Wolters Kluwer Health Medi-Span® 5-136 |
| The significance of SOA integration and | | | | 5.37.3 Wolters Kluwer Health Facts & |
| networking systems for telemedicine is not yet | | | | Comparisons® 5-137 |
| realized in Telemedicine information systems. | | | | 5.38 XTend Medical Corporation 5-137 |
| However, as patients move from one care venue | | | | 5.38.1 XTend Medical Partners 5-138 |
| to another, the patient record is going to need to | | | | 5.38.2 XTend Medical Telemedicine Solution 5-138 |
| move with them. Thus telemedicine begins to play | | | | 5.38.3 Xtend / BioHarp UNI US. 5-139 |
| a significant role in care delivery. The hand-held, | | | | 5.38.4 XTend Medical Business Model 5-139 |
| computer-based system guides home care | | | | 5.38.5 XTend Revenue Model 5-141 |
| clinicians through the entire patient care process. | | | | 5.38.6 XTend / BioHarp 5-143 |
| Clinicians can use structured record guides. | | | | 5.38.7 XTend Medical Purchase Agreement With |
| The systems automate reporting. The market | | | | BioHarp, Korea 5-144 |
| opportunity for the Telemedicine information | | | | 5.38.8 XTend Medical / AmeriChoice 5-145 |
| services providers is to enable consolidation of the | | | | 5.39 Selected Other Telemedicine Companies |
| 35,000 small agencies worldwide into a few large | | | | 5-146 |
| services providers. These few services providers | | | | 5.39.1 A&D 5-146 |
| then become customers for the Telemedicine | | | | 5.39.2 AMD 5-146 |
| information services systems. Telemedicine | | | | 5.39.3 American TeleCare 5-147 |
| information systems will be enhanced by | | | | 5.39.4 Applied Medical Solutions 5-147 |
| partnerships with IBM to leverage information | | | | 5.39.5 Arinc 5-147 |
| analytics systems. | | | | 5.39.6 AT&T 5-148 |
| Without health, nothing else is very important. | | | | 5.39.7 Canon 5-148 |
| People with means choose to spend whatever | | | | 5.39.8 Cisco 5-148 |
| they need to protect and promote their health. | | | | 5.39.9 Centura Health 5-149 |
| Statistics on total expenditures vs. value of those | | | | 5.39.10 Chorus Call 5-149 |
| expenditures are meaningless unless they break | | | | 5.39.11 Clinidata 5-149 |
| out the impact on different population segments. | | | | 5.39.12 CSI 5-150 |
| You often see statements from US analysts that | | | | 5.39.13 Delphi Medical Systems 5-150 |
| say as President Obama did in In his speech to | | | | 5.39.14 e-TelMed 5-151 |
| the American Medical Association: | | | | 5.39.15 GlobalMedia 5-151 |
| "we are spending over $2 trillion a year on health | | | | 5.39.16 iMDsoft 5-151 |
| care — almost 50 percent more per person | | | | 5.39.17 iMetrikus 5-152 |
| than the next most costly nation. And yet, as I | | | | 5.39.18 Interactive Solutions 5-152 |
| think many of you are aware, for all of this | | | | 5.39.19 Nonin® Medical 5-153 |
| spending, more of our citizens are uninsured, the | | | | 5.39.20 Polycom 5-153 |
| quality of our care is often lower, and we aren't | | | | 5.39.21 Qualcomm 5-153 |
| any healthier. In fact, citizens in some countries | | | | 5.39.22 RSA Medical 5-154 |
| that spend substantially less than we do are | | | | 5.39.23 SHL Telemedicine 5-154 |
| actually living longer than people in other countries." | | | | 5.39.24 Sony 5-155 |
| What the Obama statement misses is that some | | | | 5.39.25 Tandberg 5-155 |
| portion of the population is healthier. The US | | | | 5.39.26 Telemedicus 5-155 |
| healthcare delivery system is superior to any. To | | | | 5.39.27 VBrick Systems 5-156 |
| say that not everyone is treated is not the same | | | | 5.39.28 Visicu 5-156 |
| as saying that the system does not treat many | | | | 5.39.29 Verizon 5-157 |
| people very well. Telemedicine is poised to make | | | | 5.39.30 ViTel Net 5-157 |
| health care delivery better and spread that | | | | 5.39.31 Viterion TeleHealthcare 5-158 |
| superior health care delivery system to a greater | | | | 5.39.32 Wire One Communications 5-158 |
| proportion of the population. | | | | 5.39.33 Zydacron 5-159 |
| Perhaps if analysts looked at that portion of the | | | | Table ES-1 ES-2 |
| population that is spending more on healthcare, it | | | | Telemedicine Systems Market Driving Forces |
| is possible to detect that those people have | | | | Figure ES-2 ES-3 |
| better quality of life and live longer, they are | | | | Telemedicine Software, Equipment, and Services |
| spending for themselves, not for everyone. So, | | | | Worldwide |
| that portion of the population that cannot afford | | | | Market Shares, Dollars, 2009 |
| good health care is creating a statistical offset | | | | Table ES-3 ES-4 |
| that misleads analysts. | | | | Telemedicine Software, Equipment, and Services |
| In fact, the US healthcare system is the envy of | | | | Market Forecasts, Worldwide, Dollars, 2010-2016 |
| the world, for those who can afford the best | | | | TELEMEDICINE MARKET DESCRIPTION AND |
| quality care delivery, and for those people who | | | | MARKET DYNAMICS |
| see a doctor, and do what their doctors | | | | Figure 1-1 1-2 |
| recommend, the US healthcare delivery system is | | | | How Telemedicine Works. |
| the best. Telemedicine is rolling out in this context, | | | | Figure 1-2 1-3 |
| facilitating the delivery of healthcare more | | | | Usage of Telemedicin |
| frequently than has been possible before and | | | | Table 1-3 1-4 |
| creating a move toward wellness care delivery | | | | Benefits Of Telemedicine |
| that supplements disease treatment. | | | | Table 1-3 (Continued) 1-5 |
| Worldwide telemedicine markets at $7 billion in | | | | Benefits Of Telemedicine |
| 2009 are expected to reach $24 billion by 2016. | | | | Table 1-4 1-6 |
| The total healthcare spending worldwide is 8.4 | | | | Medical Subspecialty Use of Telemedicine |
| trillion. Telemedicine has the promise of delivering | | | | Table 1-4 (Continued) 1-7 |
| care more adequately to rich and poor people. | | | | Medical Subspecialty Use of Telemedicine |
| Healthcare spending is anticipated to continue to | | | | Table 1-5 1-12 |
| rise as a percent of total expenditures because | | | | Telemedicine Approaches |
| as people become more industrialized and have | | | | Table 1-6 1-14 |
| more disposable income, healthcare is a central | | | | WinterGreen Research Has Formalized A Vision |
| aspect of expenditures. | | | | Of The |
| This is the 427th report in a series of primary | | | | Evolution Of Healthcare Economic Models |
| market research reports that provide forecasts in | | | | Figure 1-7 1-16 |
| communications, telecommunications, the Internet, | | | | Number of US Telemedicine and Hospice Agencies |
| computer, software, telephone equipment, health | | | | Figure 1-8 1-17 |
| equipment, and energy. Automated process and | | | | US Telemedicine Payment Source |
| significant growth potential are a priorities in topic | | | | Figure 1-9 1-18 |
| selection. The project leaders take direct | | | | US Telemedicine Patients Receiving Help |
| responsibility for writing and preparing each report. | | | | Table 1-10 1-19 |
| They have significant experience preparing | | | | Home Health Quality of Care Measures |
| industry studies. Forecasts are based on primary | | | | Table 1-10 (Continued) 1-20 |
| research andproprietary data bases. | | | | Home Health Quality of Care Measures |
| The primary research is conducted by talking to | | | | Table 1-10 (Continued) 1-21 |
| customers, distributors and companies. The | | | | Home Health Quality of Care Measures |
| survey data is not enough to make accurate | | | | Table 1-11 1-21 |
| assessment of market size, so it looks at the | | | | Senior Telemedicine Assessment |
| value of shipments and the average price to | | | | Table 1-11 (Continued) 1-22 |
| achieve market assessments. Our track record in | | | | Senior Telemedicine Assessment |
| achieving accuracy is unsurpassed in the industry. | | | | Table 1-11 (Continued) 1-23 |
| We are known for being able to develop accurate | | | | Senior Telemedicine Assessment |
| market shares and projections. This is our | | | | Table 1-12 1-23 |
| specialty. | | | | Medicare Program Payment Conditions |
| The analyst process is concentrated on getting | | | | Table 1-13 1-30 |
| good market numbers. This process involves | | | | Home Care Services Payors |
| looking at the markets from several different | | | | Table 1-14 1-40 |
| perspectives, including vendor shipments. The | | | | Telemedicine Information System Software |
| interview process is an essential aspect as well. | | | | Characteristics |
| We do have a lot of granular analysis of the | | | | Table 1-14 (Continued) 1-41 |
| different shipments by vendor in the study and | | | | Telemedicine Information System Software |
| addenda prepared after the study was published | | | | Characteristics |
| if that is appropriate. | | | | Table 1-15 1-42 |
| Forecasts reflect analysis of the market trends in | | | | Market Characteristics For Evaluation of |
| the segment and related segments. Unit and dollar | | | | Telemedicine |
| shipments are analyzed through consideration of | | | | Information System Software Vendors |
| dollar volume of each market participant in the | | | | Table 1-16 1-44 |
| segment. Installed base analysis and unit analysis is | | | | Home Care Services Billing Issues |
| based on interviews and an information search. | | | | Table 1-17 1-46 |
| Market share analysis includes conversations with | | | | JCAHO ORYX Requirements |
| key customers of products, industry segment | | | | Table 1-17 (Continued) 1-47 |
| leaders, marketing directors, distributors, leading | | | | Table 1-19 1-50 |
| market participants, opinion leaders, and | | | | Home Care Specialty Services Provided |
| companies seeking to develop measurable market | | | | Table 1-20 1-51 |
| share. | | | | Home Market Information System Software |
| Report Methodology | | | | Market Segment |
| This is the 427th report in a series of primary | | | | Table 1-21 1-54 |
| market research reports that provide forecasts in | | | | Factors Relating To Value Of Home Health Care |
| communications, telecommunications, the Internet, | | | | Over |
| computer, software, telephone equipment, health | | | | Institutional Care |
| equipment, and energy. Automated process and | | | | Table 1-22 1-58 |
| significant growth potential are a priorities in topic | | | | Studies Illustrate Patients Choose Home Care |
| selection. The project leaders take direct | | | | Table 1-23 1-60 |
| responsibility for writing and preparing each report. | | | | Home Health Savings |
| They have significant experience preparing | | | | Table 1-24 1-63 |
| industry studies. Forecasts are based on primary | | | | Home Healthcare Services Target Markets |
| research and proprietary data bases. | | | | Table 1-25 1-66 |
| The primary research is conducted by talking to | | | | Home Medical Equipment Market Segments |
| customers, distributors and companies. The | | | | Table 1-27 1-73 |
| survey data is not enough to make accurate | | | | Home Care Services Billing Issues |
| assessment of market size, so WinterGreen | | | | Table 1-28 1-74 |
| Research looks at the value of shipments and the | | | | Home Care Services Billing Changes Needed |
| average price to achieve market assessments. | | | | Table 1-29 1-75 |
| Our track record in achieving accuracy is | | | | JCAHO ORYX Requirements |
| unsurpassed in the industry. We are known for | | | | Table 1-29 (Continued) 1-76 |
| being able to develop accurate market shares and | | | | JCAHO ORYX Requirements |
| projections. This is our specialty. | | | | Table 1-30 1-85 |
| The analyst process is concentrated on getting | | | | Worldwide Telemedicine Information Systems |
| good market numbers. This process involves | | | | Market Positioning |
| looking at the markets from several different | | | | Table 1-30 (Continued) 1-86 |
| perspectives, including vendor shipments. The | | | | Worldwide Telemedicine Information Systems |
| interview process is an essential aspect as well. | | | | Market Positioning |
| We do have a lot of granular analysis of the | | | | Table 1-31 1-89 |
| different shipments by vendor in the study and | | | | Strategies For Offering Technology Solutions To |
| addenda prepared after the study was published | | | | The |
| if that is appropriate. | | | | Home Healthcare Industry |
| Forecasts reflect analysis of the market trends in | | | | Table 1-32 1-93 |
| the segment and related segments. Unit and dollar | | | | JCAHO ORYX Requirements |
| shipments are analyzed through consideration of | | | | Table 1-18 1-49 |
| dollar volume of each market participant in the | | | | Home Care Standard Services Provided |
| segment. Installed base analysis and unit analysis is | | | | TELEMEDICINE MARKET SHARES AND MARKET |
| based on interviews and an information search. | | | | FORECASTS |
| Market share analysis includes conversations with | | | | Table 2-1 2-2 |
| key customers of products, industry segment | | | | Telemedicine Systems Market Driving Forces |
| leaders, marketing directors, distributors, leading | | | | Table 2-2 2-5 |
| market participants, opinion leaders, and | | | | Telemonitoring Systems Market Driving Forces |
| companies seeking to develop measurable market | | | | Figure 2-3 2-6 |
| share. | | | | Telemedicine Software, Equipment, and Services |
| Table of Contents : | | | | Worldwide |
| TELEMEDICINE EXECUTIVE SUMMARY | | | | Market Shares, Dollars, 2009 |
| TELEMEDICINE SOFTWARE, EQUIPMENT, AND | | | | Figure 2-4 2-7 |
| SERVICES | | | | Telemedicine Software, Equipment, and Services |
| EXECUTIVE SUMMARY ES-1 | | | | Worldwide |
| Telemedicine Systems Market Driving Forces ES-1 | | | | Market Shares, Dollars, 2009 |
| Telemedicine Market Shares ES-3 | | | | Table 2-5 2-8 |
| Telemedicine Market Forecasts ES-4 | | | | Categories Of Telemedicine |
| Xtend / BioHarp UNI US. ES-6 | | | | Figure 2-6 2-9 |
| Healthcare Reform Vision and Strategy ES-7 | | | | Telemedicine Equipment Worldwide |
| TELEMEDICINE MARKET DESCRIPTION AND | | | | Market Shares, Dollars, 2009 |
| MARKET DYNAMICS | | | | Table 2-7 2-10 |
| 1. TELEMEDICINE MARKET DESCRIPTION AND | | | | Telemedicine Equipment Worldwide |
| MARKET DYNAMICS 1-1 | | | | Market Shares, Dollars, 2009 |
| 1.1 Telemedicine Definition 1-1 | | | | Table 2-8 2-12 |
| 1.1.1 Telemedicine Benefits 1-3 | | | | Contec Medical Group Patient Monitors |
| 1.1.2 50 Different Medical Subspecialties Have | | | | Table 2-8 (Continued) 2-13 |
| Successfully Used Telemedicine 1-6 | | | | Contec Medical Group Patient Monitors |
| 1.1.3 Telemedicine Reimbursement Fee Structure | | | | Table 2-9 2-14 |
| 1-8 | | | | Contec Medical Patient Monitors |
| 1.2 Healthcare IT Support for Telemedicine in Asia | | | | Figure 2-10 2-15 |
| 1-9 | | | | Telemedicine Electronic Components and Modules |
| 1.2.1 Healthcare IT in Australia 1-10 | | | | Worldwide |
| 1.2.2 Telemedicine for the Internet 1-11 | | | | Market Shares, 2009 |
| 1.3 Technologies To Support Telemedicine | | | | Figure 2-11 2-16 |
| Approaches 1-11 | | | | Telemedicine Electronic Components and Modules |
| 1.3.1 WinterGreen Research Healthcare Reform | | | | Worldwide |
| Vision and Strategy 1-12 | | | | Market Shares, 2009 |
| 1.4 Home Health Care 1-16 | | | | Figure 2-12 2-19 |
| 1.4.1 Home Health Quality Care 1-19 | | | | Telemedicine Medical Imaging, Equipment, |
| 1.4.2 Medicare 1-26 | | | | Software, and Services Market Shares, |
| 1.4.3 Medicaid 1-26 | | | | Worldwide, Dollars, 2009 |
| 1.5 Home Care Services Payors 1-30 | | | | Table 2-13 2-20 |
| 1.5.1 Self-pay 1-31 | | | | Telemedicine Medical Imaging, |
| 1.5.2 Public Third-party Payors: Medicare 1-31 | | | | Equipment, Software, and Services Market |
| 1.5.3 Public Third-party Payors: Medicaid 1-32 | | | | Shares, Dollars, 2009 |
| 1.5.4 Public Third-party Payors: Older Americans | | | | Table 2-14 2-23 |
| Act (OAA) 1-33 | | | | Telemedicine Software and (SaaS) Worldwide |
| 1.5.5 Veterans Administration 1-34 | | | | Market Shares, Dollars, 2009 |
| 1.5.6 Social Services Block Grant Programs 1-34 | | | | Table 2-15 2-24 |
| 1.5.7 Community Organizations 1-34 | | | | Telemedicine Software and (SaaS) Worldwide |
| 1.5.8 Private Third-party Payors 1-35 | | | | Market Shares, Dollars, 2009 |
| 1.6 Types of Home Care Agencies 1-35 | | | | Table 2-16 2-30 |
| 1.6.1 Nursing care 1-36 | | | | Mobile Telemedicine Remote Monitoring Equipment |
| 1.6.2 Physical therapy 1-37 | | | | and |
| 1.6.3 Occupational therapy 1-37 | | | | Services Market Shares, Dollars, 2009 |
| 1.6.4 Speech therapy 1-37 | | | | Table 2-17 2-31 |
| 1.6.5 Social workers 1-37 | | | | Mobile Telemedicine Remote Monitoring Equipment |
| 1.6.6 Home Health Aides/Home Care Aides 1-38 | | | | and |
| 1.6.7 Homemaker/Attendant Care 1-38 | | | | Services Market Shares, Dollars, 2009 |
| 1.6.8 Volunteers 1-38 | | | | Table 2-18 2-34 |
| 1.6.9 Others 1-38 | | | | MedApps Solutions Benefits |
| 1.7 Telemedicine Information System Software | | | | Figure 2-19 2-35 |
| Market Shifts 1-39 | | | | Mobile Cardiac Arrhythmia Monitoring Equipment |
| 1.7.1 Characteristics Particular To The Telemedicine | | | | and |
| Information System Market 1-42 | | | | Services Market Shares, Worldwide, Dollars, 2009 |
| 1.7.2 Implementation Depends On Documentation | | | | Table 2-20 2-36 |
| Of | | | | Mobile Cardiac Arrhythmia Monitoring Equipment |
| Each Discipline Needs 1-43 | | | | and |
| 1.7.3 Home Care Services Billing Issues 1-43 | | | | Services Market Shares, Worldwide, Dollars, 2009 |
| 1.7.4 Prospective Payment System (PPS) 1-45 | | | | Figure 2-21 2-40 |
| 1.7.5 Managed Care Requirements 1-45 | | | | Telemedicine Services Oriented Architecture |
| 1.7.6 Oasis Home Health Agencies 1-48 | | | | SOA and Networking Worldwide Market Shares, |
| 1.8 Need For Automation Of Home Care | | | | 2009 |
| Companies 1-48 | | | | Figure 2-22 2-41 |
| 1.9 Telemedicine Information Technology Industry | | | | Telemedicine Services Oriented Architecture |
| 1-50 | | | | SOA and Networking Worldwide Market Shares, |
| 1.9.1 History Of Low Investment In Healthcare | | | | 2009 |
| Information Technology 1-52 | | | | Table 2-23 2-46 |
| 1.9.2 Market Driving Forces For Worldwide | | | | US Chronic Conditions |
| Telemedicine Information Systems 1-53 | | | | Table 2-24 2-46 |
| 1.9.3 Treatment Trends 1-53 | | | | U.S. Patients with One or More Chronic Diseases |
| 1.9.4 Home Healthcare Delivery Industry 1-55 | | | | Figure 2-25 2-47 |
| 1.9.5 Competition Forms Basis Of U.S. Medical | | | | Telemedicine Equipment and Services Worldwide |
| Care Services Delivery 1-55 | | | | Market Segments, 2009 |
| 1.9.6 Science And Medical Technology 1-56 | | | | Table 2-26 2-48 |
| 1.10 Benefits Of Home Care 1-57 | | | | Telemedicine Equipment and Services Worldwide |
| 1.10.1 Home Health Saves Medicare Billions 1-59 | | | | Market Segments, 2009 |
| 1.11 Demographic Trends Driving Home Care 1-61 | | | | Figure 2-27 2-49 |
| 1.11.1 Mainstreaming Of People With Disabilities 1-61 | | | | Telemedicine Equipment and Services Worldwide |
| 1.11.2 Recovery And Active Lifestyles Of Disabled | | | | Market Segments, 2016 |
| Portion of the Population 1-62 | | | | Figure 2-28 2-50 |
| 1.12 Healthcare Equipment Industry 1-63 | | | | Telemedicine Equipment and Services Worldwide |
| 1.12.1 Reimbursement Drives Healthcare Equipment | | | | Market Segments, 2016 |
| Industry 1-64 | | | | Table 2-29 2-51 |
| 1.12.2 Home Medical Equipment Industry Segments | | | | Telemedicine Software, Equipment, and Services |
| 1-65 | | | | Market Forecasts, Worldwide, Dollars, 2010-2016 |
| 1.13 Marketing Globally 1-67 | | | | Table 2-30 2-52 |
| 1.13.1 U.S. Healthcare Delivery Industry 1-69 | | | | Telemedicine Equipment and Services Market |
| 1.13.2 Competition Forms Basis Of U.S. Medical | | | | Forecasts, |
| Care Services Delivery 1-70 | | | | Worldwide, Dollars, 2010-2016 |
| 1.13.3 European Telemedicine Market Trends 1-71 | | | | Figure 2-31 2-54 |
| 1.14 Hospital and Home Care Services Billing Issues | | | | Telemedicine Equipment Market Forecasts, |
| 1-72 | | | | Worldwide, Dollars, 2010-2016 |
| 1.14.1 Managed Care Requirements 1-74 | | | | Figure 2-32 2-55 |
| 1.15 Market Drivers For Healthcare Cost | | | | Telemedicine Components and Modules Market |
| Containment 1-77 | | | | Forecasts, Worldwide, Dollars, 2010-2016 |
| 1.15.1 Managed Care Organization Impact 1-78 | | | | Figure 2-33 2-57 |
| 1.15.2 Reasons Home Health Care Has Gained | | | | Medical Imaging Telemedicine Market Forecasts, |
| Wide-Spread Acceptance 1-78 | | | | Worldwide, Dollars, 2010-2016 |
| 1.15.3 Managed Care Change In The Healthcare | | | | Figure 2-34 2-59 |
| Industry 1-79 | | | | Mobile Telemedicine Remote Monitoring Market |
| 1.15.4 Telemedicine For People With Long Term | | | | Forecasts, |
| Disabilities 1-79 | | | | Worldwide, Dollars, 2010-2016 |
| 1.15.5 Health Care Cost Containment Trends 1-80 | | | | Figure 2-35 2-61 |
| 1.15.6 Medicare Reimbursement Guide for Power | | | | Mobile Cardiac Arrhythmia Monitoring Market |
| Wheelchair Drive Control Systems 1-80 | | | | Forecasts, |
| 1.15.7 Managed Care Organization Impact 1-81 | | | | Worldwide, Dollars, 2010-2016 |
| 1.16 Reasons Home Health Care Has Gained | | | | Figure 2-36 2-62 |
| Wide-Spread Acceptance 1-81 | | | | Telemedicine Networking Market Forecasts, |
| 1.16.1 Managed Care Change In The Healthcare | | | | Worldwide, |
| Industry 1-82 | | | | Dollars, 2010-2016 |
| 1.16.2 Telemedicine For People With Long Term | | | | Figure 2-37 2-64 |
| Disabilities 1-82 | | | | Telemedicine Applications Software and Software |
| 1.17 Worldwide Telemedicine Information Systems | | | | as a |
| Market Distribution 1-83 | | | | Service SaaS Market Forecasts, Worldwide, |
| 1.17.1 Delivery Of Non-Acute Health Care 1-83 | | | | Dollars, 2010-2016 |
| 1.17.2 Leveraging Distribution Channels 1-84 | | | | Table 2-38 2-65 |
| 1.17.3 Worldwide Telemedicine Information | | | | Telemedicine Software, Equipment, and Services |
| Systems | | | | |
| Market Positioning 1-84 | | | | LEXINGTON, Massachusetts (January 11, 2010) |
| 1.18 Increased Need For Information Technology | | | | – Telemedicine equipment, information |
| 1-86 | | | | software, and services. The 2010 study has 669 |
| 1.18.1 Medical Error 1-87 | | | | pages, 205 tables and figures. Worldwide markets |
| 1.19 Shortcomings Of Traditional Healthcare | | | | are poised to achieve significant growth as the |
| Information Systems 1-88 | | | | healthcare providers worldwide move to more |
| 1.19.1 Telemedicine Information Systems Market | | | | cost efficient healthcare modalities leveraging |
| Strategy 1-89 | | | | telemedicine. Vendors are building out localized |
| 1.19.2 Integrated Healthcare Information | | | | direct physician based services organizations, |
| Technology Solutions 1-90 | | | | distribution partnerships, and e-commerce sites |
| 1.19.3 Flexible Product-Delivery Options 1-90 | | | | that support a telemedicine brand in every region. |
| 1.19.4 Leveraging Existing Customer Base 1-91 | | | | Telemedicine is more cost efficient than nursing |
| 1.20 Telemedicine Information Systems Market | | | | home or hospital care, every patient would rather |
| Trends 1-92 | | | | stay at home if possible. As new telemedicine |
| 1.20.1 Clinician Support For Spending Less Time At | | | | equipment and services proliferate in the U.S. and |
| The | | | | worldwide, more and more vital signs based |
| Desktop And More Time Taking Care Of Patients | | | | healthcare delivery is being implemented. |
| 1-94 | | | | Healthcare delivery systems are moving towards |
| TELEMEDICINE MARKET SHARES AND MARKET | | | | a quantum shift in care delivery. Technology |
| FORECASTS | | | | provides a way to sense and monitor heart |
| 2. TELEMEDICINE SOFTWARE, EQUIPMENT, AND | | | | disease, inflammation, infection, cancer, diabetic |
| SERVICES, | | | | condition, and chronic condition status using |
| MARKET SHARES AND FORECASTS 2-1 | | | | technology. This represents a quantum shift in |
| 2.1 Telemedicine Systems Market Driving Forces | | | | care diagnosis. The old methods of verbal |
| 2-1 | | | | description that the physician rarely listens to and |
| 2.1.1 Telemedicine Healthcare Landscape 2-3 | | | | in person visual inspection are becoming less |
| 2.1.2 Telemonitoring Systems Market Driving | | | | important. The monitoring technologies and blood |
| Forces 2-4 | | | | work are being used in combination with imaging |
| 2.2 Telemedicine Market Shares 2-5 | | | | and telemetrics to provide a real time, continuous |
| 2.3 Telemedicine Equipment Market Shares 2-9 | | | | evaluation of patient condition. |
| 2.3.1 Honeywell LifeStream Web-Based | | | | This leads to care delivery by the numbers. |
| Health Information Patient Care 2-11 | | | | Few people describe themselves as old or |
| 2.3.2 Honeywell HomMed 2-12 | | | | sick—regardless of their age or health. We are |
| 2.3.3 Contec Medical Group PM50 NIBP/Spo2 | | | | moving toward care delivery by the numbers in |
| Patient Monitor 2-12 | | | | combination with physical examination in person or |
| 2.4 Telemedicine Components and Modules Market | | | | over the HD TV. HD TV gives a quick, vivid |
| Shares 2-15 | | | | image of where a person hurts and what they |
| 2.4.1 Intel Research 2-16 | | | | look like. The new sensor technology gives |
| 2.4.2 AMD Global Telemedicine 2-17 | | | | physicians visibility inside a person that is not |
| 2.5 Medical Imaging Telemedicine Market Shares | | | | available from a simple verbal description. |
| 2-18 | | | | Telemedicine can supplement information available |
| 2.5.1 GE Digital Image Archive Telemedicine Inside | | | | from a physical examination by making care |
| a Facility 2-20 | | | | delivery a available. Telemedicine is able to |
| 2.5.2 Philips Raytel Imaging Network 2-21 | | | | supplement traditional care. Telemedicine is |
| 2.6 Telemedicine Software and (SaaS) Worldwide | | | | extending monitoring into wellness tracking. The |
| 2-23 | | | | ability to visualize patient condition through blood |
| 2.6.1 McKesson Telehealth Advisor 2-24 | | | | work, monitors, sensors, imaging, and biometrics |
| 2.6.2 McKesson Telehealth Improves Patient | | | | changes everything. |
| Communication and Self-Management 2-25 | | | | It is labor that is costly, not the imaging or the |
| 2.6.3 McKesson Telehealth Delivers Quality Care at | | | | monitors. The automated process needs to be |
| a Lower Cost 2-26 | | | | leveraged to reduce the labor costs by 90%, |
| 2.6.4 Bosch Veterans Administration Success 2-26 | | | | leveraging technology to provide consistent care. |
| 2.6.5 Bosch Health Hero Network Health Buddy | | | | The systems need to be automated to the point |
| Project Expanded by Centers for Medicare and | | | | where the patients and their families can provide |
| Medicaid Services 2-27 | | | | accurate diagnostic information to the clinician, |
| 2.6.6 GenerationOne 2-29 | | | | who by definition is the decision maker, not the |
| 2.7 Mobile Telemedicine Remote Monitoring Market | | | | care provider. The telemedicine is able to address |
| Shares 2-30 | | | | the need to decrease labor costs. |
| 2.7.1 Cardiocom Telemonitoring Systems 2-31 | | | | Labor costs need to be removed from every |
| 2.7.2 Cardiocom Omnivisor™ 2-32 | | | | step of the diagnostic process. The imaging |
| 2.7.3 Aerotel Medical Systems 2-32 | | | | machines need to be automated more. The |
| 2.7.4 Aerotel Medical Systems Mobile-CliniQ™ - | | | | sensing devices need to be able to take readings |
| Affordable Personal Mobile Health Solution 2-33 | | | | and send them to the automated patient record |
| 2.7.5 MedApps 2-33 | | | | without human intervention. |
| 2.8 Mobile Cardiac Arrhythmia Monitoring Market | | | | New telemedicine devices do just this. |
| Shares 2-35 | | | | Inflammation can be detected using a handheld |
| 2.8.1 Cardionet 2-36 | | | | biometric device. Cardiac symptoms can be |
| 2.8.2 Philips-Raytel 2-37 | | | | detected automatically, just by placing a device in |
| 2.8.3 Lifewatch 2-38 | | | | the proper position, no buttons to push, no |
| 2.8.4 LifeWatch Services Arrhythmia Monitoring | | | | screens to navigate. |
| 2-38 | | | | In this context it has formalized a vision of the |
| 2.8.5 LifeStar ACT Ambulatory Cardiac Telemetry | | | | evolution of healthcare economic models. It is |
| 2-39 | | | | looking towards the transformation of the |
| 2.9 Telemedicine Networking and SOA Market | | | | healthcare delivery systems in response to |
| Shares 2-40 | | | | increasing responsibility of systems administrators |
| 2.9.1 IBM SOA Telemedicine Integration Foundation | | | | to deliver quality care efficiently. C‐healthcare |
| Systems 2-41 | | | | 2020® looks toward cost containment trends. |
| 2.9.2 IBM Financing Makes the System z More | | | | These are playing out in the context of industry |
| Efficient 2-42 | | | | and professional efforts to improve the quality of |
| 2.9.3 IBM System z 10x More Efficient Than | | | | care delivery: |
| Distributed Servers 2-42 | | | | 1. Leverage automated process in the same way |
| 2.9.4 Cisco HealthPresence 2-43 | | | | other industries have. Leverage cloud computing |
| 2.9.5 Hewlett Packard (HP) / 3Com Corporation | | | | and System z mainframe computing to lower |
| Telemedicine 2-44 | | | | care delivery costs while improving the quality by |
| 2.9.6 HP / 3Com Corporation 2-44 | | | | quantum amounts. |
| 2.10 Telemedicine Opportunity 2-45 | | | | 2. Consolidate health care delivery systems in a |
| 2.11 Telemedicine Market Segment Analysis 2-47 | | | | manner that is able to achieve effective, efficient |
| 2.12 Telemedicine Market Forecasts 2-51 | | | | communication between caregivers. |
| 2.1 Telemedicine Equipment Market Forecasts 2-52 | | | | 3. Stop rewarding hospitals and physicians for |
| 2.2 Telemedicine Electronic Components and | | | | over delivery of care and change. Move to care |
| Modules Worldwide Market Forecasts 2-55 | | | | delivery systems that allow treatment of patients |
| 2.3 Medical Imaging Telemedicine Market Forecasts | | | | by the numbers combined with intelligent caring |
| 2-56 | | | | care. This is particularly true with the high cost |
| 2.4 Mobile Telemedicine Remote Monitoring Market | | | | profit center emergency room, get those costs |
| Forecasts 2-58 | | | | way down. |
| 2.4.1 Wireless Mobile Health Monitoring 2-58 | | | | 4. Support the extended health care delivery |
| 2.5 Mobile Cardiac Arrhythmia Monitoring Market | | | | systems that support healthy behaviors, including |
| Forecasts 2-60 | | | | the acupuncture practitioners, chiropractors, and |
| 2.6 Telemedicine Networks Market Forecasts 2-61 | | | | sports clubs. |
| 2.7 Telemedicine Applications Software and | | | | 5. Support Telemedicine and specialized intelligent |
| Software as a Service SaaS Worldwide Market | | | | support systems that permit leaving people in |
| Forecasts 2-63 | | | | their own homes even if they cannot take care |
| 2.8 Telemedicine Worldwide Market Segment | | | | of every aspect of their life. Help old people take |
| Forecasts 2-65 | | | | out the trash, sand the driveway when it snows, |
| 2.9 Equipment and Software for Transmission of | | | | clean up the junk, help with the simple stuff that |
| Medical Imaging, Telemedicine 2-67 | | | | seems overwhelming to old people. |
| 2.9.1 Telehealth 2-68 | | | | 6. Reward families for providing care support to |
| 2.9.2 Telemedical Systems Challenged 2-68 | | | | extended family members, these do not need to |
| 2.10 Telemedicine Regional Segment Analysis 2-71 | | | | be financial rewards in every instance, maybe |
| TELEMEDICINE PRODUCT DESCRIPTION | | | | they are special recognition banquets and letters |
| 3. TELEMEDICINE PRODUCT, NETWORKING, AND | | | | of commendation. |
| SERVICES DESCRIPTION 3-1 | | | | 7. Implement systems that stimulate and reward |
| 3.1 Mobile Cardiac Arrhythmia Monitoring 3-1 | | | | patients for exercising and taking care of |
| 3.2 CardioNet 3-2 | | | | themselves in every way. |
| 3.3 Philips-Raytel 3-3 | | | | 8. Implement computer assisted coding in a |
| 3.4 Lifewatch 3-6 | | | | manner that allows automated transcription of |
| 3.4.1 LifeWatch Services Arrhythmia Monitoring | | | | physician and clinician notes into the electronic |
| 3-7 | | | | patient record; utilize the clinician notes, blood |
| 3.4.2 LifeWatch Services NiteWatch Home Sleep | | | | work, and diagnostic test results to provide |
| Testing LifeWatch Services 3-9 | | | | tracking and reminding of conditions that need |
| 3.4.3 LifeWatch Services Clinical Expertise 3-10 | | | | follow‐up after a specified length of time. |
| 3.4.4 LifeWatch Services Web Enrollment and | | | | 9. Use patient systems that are efficient. |
| Reporting Tools 3-10 | | | | 10. Implement telemedicine. |
| 3.5 Mobile Telemedicine Remote Monitoring 3-10 | | | | Challenged with declining reimbursements, a |
| 3.6 McKesson Telehealth Advisor 3-11 | | | | nursing shortage and low productivity even as |
| 3.6.1 McKesson Telehealth Improves Patient | | | | new agencies open, there has been significant |
| Communication and Self-Management 3-11 | | | | industry consolidation. Automated process brought |
| 3.6.2 McKesson Telehealth Delivers Quality Care at | | | | by Telemedicine information systems addresses |
| a Lower Cost 3-12 | | | | management team issues. Existing providers need |
| 3.7 Meditech Telemanagement Process In-Home | | | | to improve overall operations to address these |
| Device 3-13 | | | | issues. |
| 3.7.1 Meditech Telemonitoring And Telehealth For | | | | Several new studies provide large‐scale, |
| Home Health Agencies 3-17 | | | | independent, quantified proof of the value of |
| 3.8 Bosch Healthcare Telehealth Solutions 3-20 | | | | healthcare information technology have. Users can |
| 3.8.1 Bosch Tele-Health Systems Empower | | | | utilize the scheduling notes to alert other staff of |
| Patients 3-21 | | | | patient preferences or supplies needed in the |
| 3.8.2 Bosch Health Hero Network 3-21 | | | | home. Maestro intuitive process flow provides |
| 3.8.3 Bosch ViTelNet Range Of Services 3-21 | | | | users with many reminders, including when a |
| 3.8.4 U.S. Telehealth: Bosch acquires ViTel Net | | | | patient is out of orders, when a supervisory visit |
| 3-22 | | | | is required, or when a procedure needs to be |
| 3.9 Aerotel Medical Systems 3-23 | | | | completed during a visit. |
| 3.9.1 Aerotel BP-Tel™ Transtelephonic Blood | | | | Telemedicine Information systems are a |
| Pressure Monitor 3-23 | | | | significant part of the home care delivery |
| 3.9.2 Aerotel Tele-CliniQ™ 3-27 | | | | systems. Software leverages the efficiency of |
| 3.9.3 Aerotel Medical Systems Mobile-CliniQ™ - | | | | clinical process in ways that have never become |
| Affordable Personal Mobile Health Solution 3-33 | | | | possible before. The system leverages virtually all |
| 3.9.4 Aerotel Medical Systems Connect-Cell™ - | | | | the administrative and financial information needed |
| Cellular-Based Telemedicine Data Hub 3-33 | | | | to run a successful home care company. |
| 3.10 Cardiocom Telemonitoring Systems 3-34 | | | | Information can be gathered right from the |
| 3.10.1 Cardiocom Omnivisor™ 3-35 | | | | charts. |
| 3.10.2 Cardiocom Commander 3-37 | | | | The significance of SOA integration and |
| 3.10.3 Cardiocom Telescale® 3-37 | | | | networking systems for telemedicine is not yet |
| 3.10.4 Cardiocom Thin-Link® 3-38 | | | | realized in Telemedicine information systems. |
| 3.10.5 CardiocomGlucoCom 3-38 | | | | However, as patients move from one care venue |
| 3.10.6 Cardiocom Telemonitoring Tools 3-39 | | | | to another, the patient record is going to need to |
| 3.10.7 Cardiocom Integrated System For | | | | move with them. Thus telemedicine begins to play |
| Communication 3-40 | | | | a significant role in care delivery. The hand-held, |
| 3.10.8 Cardiocom Telemonitoring Systems 3-44 | | | | computer-based system guides home care |
| 3.10.9 Cardiocom Detailed, Objective Reports 3-45 | | | | clinicians through the entire patient care process. |
| 3.10.10 Cardiocom .NET Installation and | | | | Clinicians can use structured record guides. |
| Maintenance 3-47 | | | | The systems automate reporting. The market |
| 3.10.11 Cardiocom System 3-48 | | | | opportunity for the Telemedicine information |
| 3.10.13 Cardiocom Commander Data Management | | | | services providers is to enable consolidation of the |
| System 3-49 | | | | 35,000 small agencies worldwide into a few large |
| 3.10.14 Cardiocom • Blood Pressure • | | | | services providers. These few services providers |
| Glucometer • | | | | then become customers for the Telemedicine |
| Peak Flow • Medical Scale • Pulse Oximeter | | | | information services systems. Telemedicine |
| 3-50 | | | | information systems will be enhanced by |
| 3.10.15 Cardiocom Telescale® 3-52 | | | | partnerships with IBM to leverage information |
| 3.10.16 Cardiocom Cardio-Plan™ 3-54 | | | | analytics systems. |
| 3.10.17 Cardiocom Respiratory-Plan™ 3-57 | | | | Without health, nothing else is very important. |
| 3.11 Santrax Telemedicine Information Systems | | | | People with means choose to spend whatever |
| Telphony | | | | they need to protect and promote their health. |
| Solutions 3-59 | | | | Statistics on total expenditures vs. value of those |
| 3.11.1 Santrax Delivered Through The Web 3-65 | | | | expenditures are meaningless unless they break |
| 3.12 AHL Telemedicine Solutions 3-69 | | | | out the impact on different population segments. |
| 3.12.1 AHL Telemedicine services 3-71 | | | | You often see statements from US analysts that |
| 3.12.2 AHL Telemedicine Benefits 3-74 | | | | say as President Obama did in In his speech to |
| 3.12.3 AHL Cardiostation 3-75 | | | | the American Medical Association: |
| 3.12.4 AHL Heartrak Smart Products 3-76 | | | | "we are spending over $2 trillion a year on health |
| 3.12.5 AHL Heartrak - Post-Event Cardiac | | | | care — almost 50 percent more per person |
| Monitoring 3-77 | | | | than the next most costly nation. And yet, as I |
| 3.13 Honeywell LifeStream Web-Based Health | | | | think many of you are aware, for all of this |
| Information | | | | spending, more of our citizens are uninsured, the |
| Patient Care 3-80 | | | | quality of our care is often lower, and we aren't |
| 3.13.1 Honeywell HomMed Interface Options 3-81 | | | | any healthier. In fact, citizens in some countries |
| 3.13.2 Honeywell LifeStream View Securely | | | | that spend substantially less than we do are |
| Accesses And | | | | actually living longer than people in other countries." |
| Tracks Patient Information In Real Time 3-82 | | | | What the Obama statement misses is that some |
| 3.13.3 Honeywell LifeStream Target Markets 3-82 | | | | portion of the population is healthier. The US |
| 3.13.4 Honeywell Products, Software & | | | | healthcare delivery system is superior to any. To |
| Peripherals 3-83 | | | | say that not everyone is treated is not the same |
| 3.13.5 Honeywell Sentry Telehealth Monitor – | | | | as saying that the system does not treat many |
| Total Solution 3-83 | | | | people very well. Telemedicine is poised to make |
| 3.13.6 Honeywell Genesis Telehealth Monitor – | | | | health care delivery better and spread that |
| Targeted Solution 3-85 | | | | superior health care delivery system to a greater |
| 3.13.7 Honeywell Central Station – Diagnostic | | | | proportion of the population. |
| Software for Managing Patient Care 3-87 | | | | Perhaps if analysts looked at that portion of the |
| 3.13.8 Honeywell Genesis Telemonitor - Targeted | | | | population that is spending more on healthcare, it |
| Solution 3-87 | | | | is possible to detect that those people have |
| 3.13.9 Honeywell Central Station Diagnostic | | | | better quality of life and live longer, they are |
| Software for | | | | spending for themselves, not for everyone. So, |
| Managing Patient Care 3-90 | | | | that portion of the population that cannot afford |
| 3.13.10 Honeywell Medical Devices 3-92 | | | | good health care is creating a statistical offset |
| 3.13.11 Honeywell Health Center Kiosks 3-92 | | | | that misleads analysts. |
| 3.13.12 Honeywell HomMed Promoting Healthy | | | | In fact, the US healthcare system is the envy of |
| Environments 3-95 | | | | the world, for those who can afford the best |
| 3.14 Sajix 3-96 | | | | quality care delivery, and for those people who |
| 3.15 GenerationOne 3-97 | | | | see a doctor, and do what their doctors |
| 3.15.1 GenerationOne Mobile Health Solution 24/7 | | | | recommend, the US healthcare delivery system is |
| Support 3-99 | | | | the best. Telemedicine is rolling out in this context, |
| 3.16 Telemedicine Networks 3-99 | | | | facilitating the delivery of healthcare more |
| 3.17 Cisco 3-100 | | | | frequently than has been possible before and |
| 3.17.1 Cisco HealthPresence 3-100 | | | | creating a move toward wellness care delivery |
| 3.18 Hewlett-Packard / 3Com Corporation 3-102 | | | | that supplements disease treatment. |
| 3.19 IBM 3-105 | | | | Worldwide telemedicine markets at $7 billion in |
| 3.20 Bosch / Health Hero® Network | | | | 2009 are expected to reach $24 billion by 2016. |
| Deployments with | | | | The total healthcare spending worldwide is 8.4 |
| Medicare, VA 3-108 | | | | trillion. Telemedicine has the promise of delivering |
| 3.20.1 Centers for Medicare and Medicaid Services | | | | care more adequately to rich and poor people. |
| Extending And Expanding Bosch Health Hero | | | | Healthcare spending is anticipated to continue to |
| Network | | | | rise as a percent of total expenditures because |
| Health Buddy Project 3-109 | | | | as people become more industrialized and have |
| 3.21 Aruba Networks Wireless Solution: WiFi | | | | more disposable income, healthcare is a central |
| Wireless LANs 3-113 | | | | aspect of expenditures. |
| 3.21.1 Aruba Networks Wireless Solution 3-116 | | | | This is the 427th report in a series of primary |
| 3.21.2 Aruba Wireless Network Real-Time | | | | market research reports that provide forecasts in |
| Surveillance Of The Patient Bedside 3-117 | | | | communications, telecommunications, the Internet, |
| 3.22 Cardiopulmonary Bernoulli Enterprise | | | | computer, software, telephone equipment, health |
| Management System 3-118 | | | | equipment, and energy. Automated process and |
| 3.23 Telemedicine Equipment Worldwide 3-118 | | | | significant growth potential are a priorities in topic |
| 3.24 Contec Medical Group PM50 NIBP/Spo2 | | | | selection. The project leaders take direct |
| Patient Monitor 3-118 | | | | responsibility for writing and preparing each report. |
| 3.25 Mednet Healthcare Technologies Heartrak | | | | They have significant experience preparing |
| Smart 3-124 | | | | industry studies. Forecasts are based on primary |
| 3.25.1 Mednet Healthcare Technologies Heartrak - | | | | research andproprietary data bases. |
| Post- | | | | The primary research is conducted by talking to |
| Event Cardiac Monitoring 3-125 | | | | customers, distributors and companies. The |
| 3.25.2 Mednet Healthcare Technologies Heartrak | | | | survey data is not enough to make accurate |
| 1000 3-125 | | | | assessment of market size, so it looks at the |
| 3.25.3 Mednet Healthcare Technologies HeartView | | | | value of shipments and the average price to |
| P-12/8 3-126 | | | | achieve market assessments. Our track record in |
| 3.25.4 Mednet Healthcare Technologies | | | | achieving accuracy is unsurpassed in the industry. |
| HeartOne™ 3-127 | | | | We are known for being able to develop accurate |
| 3.26 Cardionet 3-128 | | | | market shares and projections. This is our |
| 3.26.1 CardioNet MCOT 3-128 | | | | specialty. |
| 3.26.2 CardioNet Event Monitoring 3-129 | | | | The analyst process is concentrated on getting |
| 3.26.3 CardioNet Looping Multi-Event Monitor 3-132 | | | | good market numbers. This process involves |
| 3.26.4 CardioNet Non-Looping Chest Plate Event | | | | looking at the markets from several different |
| Monitor 3-133 | | | | perspectives, including vendor shipments. The |
| 3.26.5 CardioNet Holter Monitor 3-135 | | | | interview process is an essential aspect as well. |
| 3.27 XTend Medical Telemedicine 3-137 | | | | We do have a lot of granular analysis of the |
| 3.27.1 XTend Pharmacy 3-139 | | | | different shipments by vendor in the study and |
| 3.27.2 Xtend / BioHarp UNI US. 3-140 | | | | addenda prepared after the study was published |
| 3.28 LifeStar ACT Ambulatory Cardiac Telemetry | | | | if that is appropriate. |
| 3-141 | | | | Forecasts reflect analysis of the market trends in |
| 3.28.1 LifeStar ACT Products 3-141 | | | | the segment and related segments. Unit and dollar |
| 3.28.2 LifeStar ACT Ex 3-142 | | | | shipments are analyzed through consideration of |
| 3.29 GenesisHealthTechnologies HealthPia 3-144 | | | | dollar volume of each market participant in the |
| 3.29.1 GenesisHealthTechnologies HealthPia Glucose | | | | segment. Installed base analysis and unit analysis is |
| Meter (GlucoPack™) 3-145 | | | | based on interviews and an information search. |
| 3.29.2 GenesisHealthTechnologies BP Cuff 3-150 | | | | Market share analysis includes conversations with |
| 3.29.3 GenesisHealthTechnologies HealthPia | | | | key customers of products, industry segment |
| Thermo Weight Scale 3-150 | | | | leaders, marketing directors, distributors, leading |
| 3.29.4 GenesisHealthTechnologies Glucose | | | | market participants, opinion leaders, and |
| Information | | | | companies seeking to develop measurable market |
| And Testing Security 3-150 | | | | share. |
| 3.30 IgeaCare Igeacom300Systems Nurse Call | | | | Report Methodology |
| Devices 3-152 | | | | This is the 427th report in a series of primary |
| 3.30.1 IgeaCare Igeacom500 Systems 3-153 | | | | market research reports that provide forecasts in |
| 3.30.2 IgeaCare Igeacom700 Systems 3-156 | | | | communications, telecommunications, the Internet, |
| 3.31 LifeSync Wireless Lead System 3-158 | | | | computer, software, telephone equipment, health |
| 3.31.1 LifeSync Wireless ECG System 3-163 | | | | equipment, and energy. Automated process and |
| 3.32 SHL Telemedicine Ltd. CARDIOSEN'C™ | | | | significant growth potential are a priorities in topic |
| 3-167 | | | | selection. The project leaders take direct |
| 3.32.1 SHL Telemeidicine CARDIOBEEPER12/12™ | | | | responsibility for writing and preparing each report. |
| 3-169 | | | | They have significant experience preparing |
| 3.32.2 SHL Telemedicine CARDIOPOCKET™ | | | | industry studies. Forecasts are based on primary |
| 3-172 | | | | research and proprietary data bases. |
| 3.32.3 SHL Telemedicine TELEMARKER™ | | | | The primary research is conducted by talking to |
| Transtelephonic | | | | customers, distributors and companies. The |
| Cardiac Blood Testing Device 3-172 | | | | survey data is not enough to make accurate |
| 3.32.4 SHL Telemedicine TELEPRESS™ 3-175 | | | | assessment of market size, so WinterGreen |
| 3.33 MedApps 3-177 | | | | Research looks at the value of shipments and the |
| 3.33.1 MedApps Wireless Mobile Health Monitoring | | | | average price to achieve market assessments. |
| 3-179 | | | | Our track record in achieving accuracy is |
| 3.33.2 MedApps Wireless Health Monitoring 3-180 | | | | unsurpassed in the industry. We are known for |
| 3.33.3 MedApps Mobile Wireless Health Monitoring | | | | being able to develop accurate market shares and |
| System 3-184 | | | | projections. This is our specialty. |
| 3.33.4 MedApps HealthPAL 3-185 | | | | The analyst process is concentrated on getting |
| 3.33.5 MedApps HealthCOM 3-186 | | | | good market numbers. This process involves |
| 3.33.6 MedApps HealthLINK – 3-190 | | | | looking at the markets from several different |
| 3.33.7 MedPAL Medication Compliance 3-191 | | | | perspectives, including vendor shipments. The |
| 3.34 Apollo Products / Solutions 3-191 | | | | interview process is an essential aspect as well. |
| 3.35 Heart Imaging Technologies 3-192 | | | | We do have a lot of granular analysis of the |
| 3.36 Telemedicine Electronic Components and | | | | different shipments by vendor in the study and |
| Modules Worldwide 3-193 | | | | addenda prepared after the study was published |
| 3.37 Intel Telemedicine Research and Innovation | | | | if that is appropriate. |
| 3-194 | | | | Forecasts reflect analysis of the market trends in |
| 3.37.1 Intel Telemedicine Technologies And | | | | the segment and related segments. Unit and dollar |
| Research | | | | shipments are analyzed through consideration of |
| Ecosystem 3-194 | | | | dollar volume of each market participant in the |
| 3.37.2 Intel Ethnographic Research In Healthcare | | | | segment. Installed base analysis and unit analysis is |
| 3-195 | | | | based on interviews and an information search. |
| 3.37.3 Intel Healthcare Research Global | | | | Market share analysis includes conversations with |
| Understanding 3-196 | | | | key customers of products, industry segment |
| 3.37.4 Intel Healthcare Research Focus 3-197 | | | | leaders, marketing directors, distributors, leading |
| 3.37.5 Intel Research Portfolio Evidence-Based | | | | market participants, opinion leaders, and |
| Innovation 3-199 | | | | companies seeking to develop measurable market |
| 3.37.6 Intel Acquires Wind River Systems 3-207 | | | | share. |
| 3.37.7 Intel Bringing Vital Information To The Point | | | | Table of Contents : |
| Of Care 3-208 | | | | TELEMEDICINE EXECUTIVE SUMMARY |
| 3.37.8 Intel Innovation For Healthcare 3-209 | | | | TELEMEDICINE SOFTWARE, EQUIPMENT, AND |
| 3.37.9 Intel® Health Guide Personal Health | | | | SERVICES |
| System 3-209 | | | | EXECUTIVE SUMMARY ES-1 |
| 3.37.10 Intel® Health Guide 3-210 | | | | Telemedicine Systems Market Driving Forces ES-1 |
| 3.38 AMD Global Telemedicine 3-210 | | | | Telemedicine Market Shares ES-3 |
| 3.38.1 AMD Telemedicine In The Access Model | | | | Telemedicine Market Forecasts ES-4 |
| 3-212 | | | | Xtend / BioHarp UNI US. ES-6 |
| 3.38.2 AMD Primary Care Telemedicine 3-213 | | | | Healthcare Reform Vision and Strategy ES-7 |
| 3.38.3 AMD Global Telemedicine 3-214 | | | | TELEMEDICINE MARKET DESCRIPTION AND |
| 3.38.4 AMD Cutting Edge Cardiology Applications | | | | MARKET DYNAMICS |
| 3-216 | | | | 1. TELEMEDICINE MARKET DESCRIPTION AND |
| 3.39 Authentidate Holding Secure Health | | | | MARKET DYNAMICS 1-1 |
| Information | | | | 1.1 Telemedicine Definition 1-1 |
| Exchange And Workflow Management 3-223 | | | | 1.1.1 Telemedicine Benefits 1-3 |
| 3.40 Equipment and Software for Transmission of | | | | 1.1.2 50 Different Medical Subspecialties Have |
| Medical Imaging, Telemedicine 3-225 | | | | Successfully Used Telemedicine 1-6 |
| 3.41 Philips / Raytel Imaging Network 3-226 | | | | 1.1.3 Telemedicine Reimbursement Fee Structure |
| 3.42 GE Digital Image Archive Telemedicine | | | | 1-8 |
| Inside a Facility 3-229 | | | | 1.2 Healthcare IT Support for Telemedicine in Asia |
| 3.42.1 GE Centricity RIS/PACS Integrated | | | | 1-9 |
| Solutions 3-230 | | | | 1.2.1 Healthcare IT in Australia 1-10 |
| 3.42.2 GE PACS eHealth 3-232 | | | | 1.2.2 Telemedicine for the Internet 1-11 |
| 3.42.3 GE Central databank Supports Remote | | | | 1.3 Technologies To Support Telemedicine |
| Care Delivery 3-232 | | | | Approaches 1-11 |
| 3.43 Telemedicine for Public Health Agencies 3-233 | | | | 1.3.1 WinterGreen Research Healthcare Reform |
| 3.44 Voxiva HealthConnect Suite Of Interactive | | | | Vision and Strategy 1-12 |
| Mobile Health Information Services 3-233 | | | | 1.4 Home Health Care 1-16 |
| 3.44.1 Voxiva HealthWatch 3-234 | | | | 1.4.1 Home Health Quality Care 1-19 |
| 3.44.2 Voxiva Disease Reporting 3-235 | | | | 1.4.2 Medicare 1-26 |
| 3.44.3 Voxiva HealthWatch Database Mining 3-236 | | | | 1.4.3 Medicaid 1-26 |
| 3.44.4 Voxiva HealthWatch Outbreak Detection | | | | 1.5 Home Care Services Payors 1-30 |
| and Analysis 3-236 | | | | 1.5.1 Self-pay 1-31 |
| 3.44.5 Voxiva HealthWatch Alerts on Health | | | | 1.5.2 Public Third-party Payors: Medicare 1-31 |
| Events 3-236 | | | | 1.5.3 Public Third-party Payors: Medicaid 1-32 |
| 3.44.6 Voxiva Case Investigation 3-236 | | | | 1.5.4 Public Third-party Payors: Older Americans |
| 3.44.7 Voxiva Outbreak Management 3-237 | | | | Act (OAA) 1-33 |
| 3.44.8 Voxiva Platform Solutions 3-237 | | | | 1.5.5 Veterans Administration 1-34 |
| 3.45 Rivulet Communications Medical Video 3-240 | | | | 1.5.6 Social Services Block Grant Programs 1-34 |
| 3.45.1 Rivulet's Advanced Multimedia Telemedicine | | | | 1.5.7 Community Organizations 1-34 |
| Solution 3-240 | | | | 1.5.8 Private Third-party Payors 1-35 |
| 3.46 Pelham Sloane Mobile And Home Based | | | | 1.6 Types of Home Care Agencies 1-35 |
| Telemedicine 3-242 | | | | 1.6.1 Nursing care 1-36 |
| TELEMEDICINE TECHNOLOGY | | | | 1.6.2 Physical therapy 1-37 |
| 4. TELEMEDICINE TECHNOLOGY 4-1 | | | | 1.6.3 Occupational therapy 1-37 |
| 4.1 Telemedicine Product Lifecycle Accelerating | | | | 1.6.4 Speech therapy 1-37 |
| 4-1 | | | | 1.6.5 Social workers 1-37 |
| 4.1.1 Personal Computer Based Systems Provide | | | | 1.6.6 Home Health Aides/Home Care Aides 1-38 |
| Significant Advantages 4-1 | | | | 1.6.7 Homemaker/Attendant Care 1-38 |
| 4.1.2 Telemedicine Establishes Professional | | | | 1.6.8 Volunteers 1-38 |
| Relationships, Builds Referral Patterns 4-2 | | | | 1.6.9 Others 1-38 |
| 4.1.3 Machine-to-Machine Sensing 4-3 | | | | 1.7 Telemedicine Information System Software |
| 4.2 Bosch Studies 600 Congestive Heart Failure | | | | Market Shifts 1-39 |
| (CHF) Patients – 4-4 | | | | 1.7.1 Characteristics Particular To The Telemedicine |
| 4.2.1 Better Care For Hypertensive Patients 4-5 | | | | Information System Market 1-42 |
| 4.2.2 Accurate Non-Invasive Blood Pressure | | | | 1.7.2 Implementation Depends On Documentation |
| Measurement in the | | | | Of |
| Critically Ill patient 4-5 | | | | Each Discipline Needs 1-43 |
| 4.2.3 Automated Blood Pressure Device Calibration | | | | 1.7.3 Home Care Services Billing Issues 1-43 |
| Method 4-7 | | | | 1.7.4 Prospective Payment System (PPS) 1-45 |
| 4.3 Patient Assessment 4-8 | | | | 1.7.5 Managed Care Requirements 1-45 |
| 4.3.1 Accurate Blood Pressure Measurement 4-8 | | | | 1.7.6 Oasis Home Health Agencies 1-48 |
| 4.3.2 Accuracy And Clinical Validation Of The | | | | 1.8 Need For Automation Of Home Care |
| SunTech 247 4-9 | | | | Companies 1-48 |
| 4.3.3 Accurate Blood Pressure Measurement 4-10 | | | | 1.9 Telemedicine Information Technology Industry |
| 4.3.4 Evidence-Based Innovation 4-10 | | | | 1-50 |
| 4.4 Intel Telemedicine Cultivating Collaborations | | | | 1.9.1 History Of Low Investment In Healthcare |
| 4-13 | | | | Information Technology 1-52 |
| 4.4.1 Technology Research for Independent Living | | | | 1.9.2 Market Driving Forces For Worldwide |
| 4-13 | | | | Telemedicine Information Systems 1-53 |
| 4.4.2 Behavioral Assessment and Intervention | | | | 1.9.3 Treatment Trends 1-53 |
| Commons 4-13 | | | | 1.9.4 Home Healthcare Delivery Industry 1-55 |
| 4.4.3 Center for Aging Services Technologies | | | | 1.9.5 Competition Forms Basis Of U.S. Medical |
| (CAST) 4-14 | | | | Care Services Delivery 1-55 |
| 4.4.4 Everyday Technologies in Alzheimer Care | | | | 1.9.6 Science And Medical Technology 1-56 |
| (ETAC) 4-14 | | | | 1.10 Benefits Of Home Care 1-57 |
| 4.4.5 Oregon Center for Aging and Tech | | | | 1.10.1 Home Health Saves Medicare Billions 1-59 |
| (ORCATECH) 4-14 | | | | 1.11 Demographic Trends Driving Home Care 1-61 |
| 4.5 People-Centered Research 4-14 | | | | 1.11.1 Mainstreaming Of People With Disabilities 1-61 |
| 4.5.1 Technology Innovation Starts With People | | | | 1.11.2 Recovery And Active Lifestyles Of Disabled |
| 4-17 | | | | Portion of the Population 1-62 |
| 4.6 Disease Conditions and Medical Care | | | | 1.12 Healthcare Equipment Industry 1-63 |
| Categories 4-18 | | | | 1.12.1 Reimbursement Drives Healthcare Equipment |
| 4.6.1 Diabetes 4-18 | | | | Industry 1-64 |
| 4.6.2 Chronic Care 4-18 | | | | 1.12.2 Home Medical Equipment Industry Segments |
| 4.6.3 Cardiac Care 4-19 | | | | 1-65 |
| 4.6.4 Cardiology 4-21 | | | | 1.13 Marketing Globally 1-67 |
| 4.6.5 Oncology 4-22 | | | | 1.13.1 U.S. |
| 4.6.6 Women's health 4-22 | | | | |