Healthcare Information Technology

Table of Contents

Healthcare Information Technology

Chapter-1: EXECUTIVE SUMMARY

• SUMMARY TABLE U.S. MARKET FOR CLINICAL HEALTH CARE IT TECHNOLOGIES, THROUGH 2014 ($ MILLIONS)
• SUMMARY FIGURE CLINICAL HEALTH CARE TECHNOLOIGES MARKET SHARES, 2008-2014 (%)

Chapter-2: CLINICAL HEALTH CARE IT: AN OVERVIEW

• DEFINITIONS
  • TABLE 1 MAJOR CLASSES OF HEALTH CARE IT TECHNOLOGIES
• CLINICAL SOFTWARE
• HARDWARE DEDICATED TO CLINICAL IT APPLICATIONS
• HISTORY
• HISTORY (CONTINUED)

Chapter-3: TYPES OF CLINICAL IT TECHNOLOGIES

• TABLE 2 MAJOR TYPES OF CLINICAL HEALTH CARE IT TECHNOLOGIES
• ELECTRONIC HEALTH RECORDS
• PROVIDER ORDER ENTRY SYSTEMS FOR DRUGS, LAB TESTS, AND PROCEDURES
• ELECTRONIC PRESCRIBING SYSTEM
• PICTURE ARCHIVING AND COMMUNICATION SYSTEMS FOR FILMLESS IMAGING
• LABORATORY INFORMATION SYSTEMS
• CLINICAL DECISION SUPPORT SYSTEMS
• TELEMEDICINE
• OTHER RELATED AND SUPPORTING TECHNOLOGIES
• Personal Health Records
• Radio Frequency Identification
• VeriChip
• Bar Coding
• Speech Recognition
• Medical Equipment Interfaces
• BENEFITS OF CLINICAL HEALTH CARE IT TECHNOLOGIES
• BENEFITS TO PATIENTS
• Improved Quality of Care
• Lower Costs
• Wider Availability of Health Insurance
• BENEFITS TO HOSPITALS, PHYSICIANS, AND OTHER CAREGIVERS
• Clinical Efficiencies and Improved Quality
• Verification of Insurance Eligibility and Benefits
• Patient Satisfaction
• Image and Public Relations
• Reduced Malpractice Risk
• Employee Morale
• BENEFITS TO THE PHARMACEUTICAL INDUSTRY
• Pharmaceutical Manufacturers
• Improved Drug Safety Surveillance
• Clinical Trial Recruitment
• Support of Regulatory Approval
• Retail Pharmacies
• Opportunities to Increase Revenues
• BENEFITS TO HEALTH INSURANCE PROVIDERS
• BARRIERS TO DEPLOYMENT
• COST
• LACK OF METRICS
• LACK OF STANDARDS
• Clinical Vocabularies
• Clinical Ontologies
• COMPATIBILITY
• Backwards Compatibility
• Sideways Compatibility
• Forwards Compatibility
• WIDE RANGE OF SOFTWARE CHOICES
• LACK OF PERSONNEL WITH APPROPRIATE SKILLS
• LIMITED FINANCIAL RETURNS ON HEALTH IT INVESTMENTS
• PRIVACY CONCERNS
• SAFETY ISSUES
• LEGAL LIABILITY
• Privacy
• Safety
• PREVIOUS IMPLEMENTATIONS OF HEALTH CARE IT
• U.S.
• U.S. Department of Veterans Affairs
• Cedars Sinai Medical Center Physician Order Entry System
• Santa Barbara County Care Data Exchange
• OTHER COUNTRIES
• U.K. National Health Service National Programme for IT
• Alberta (Canada) Net care
• MARKET SUMMARY
  • TABLE 3 U.S. MARKET FOR CLINICAL HEALTH CARE IT TECHNOLOGIES BY APPLICATION TYPE, THROUGH 2014 ($ MILLIONS)
  • FIGURE 1 U.S. MARKET FOR CLINICAL HEALTH CARE IT TECHNOLOGIES PRODUCT MARKET SHARES, 2008- 2014 (%)

Chapter-4: MARKET ENVIRONMENT FOR CLINICAL HEALTH CARE IT TECHNOLOGIES

• LEGAL AND REGULATORY ENVIRONMENT
• LEGISLATION
• Federal Legislation
• Better Healthcare through Information Technology Act of 2005
• Medicare Value Purchasing Act
• Health Information Technology Promotion Act
• Wired for Health Care Quality Act
• American Recovery and Reinvestment Act of 2009
• American ... (Continued)
• State Legislation
• Massachusetts
• Minnesota
• New Mexico
• Rhode Island
• Vermont
• EXECUTIVE ORDERS
• Federal Level
• Executive Order 13335
• Executive Order 13410
• State and Local Levels
  • TABLE 4 STATE EXECUTIVE ORDERS RELATING TO HEALTH IT
  • TABLE 4 (CONTINUED)
• REGULATIONS
• Federal Regulations
• Potential FDA Regulation of HER
• EHR and HIPAA
• HHS Regulations to Facilitate Adoption of Health Information Technology
• State and Local Regulations
• CERTIFICATION BODIES
• Certification Commission For Healthcare Information Technology
• ECONOMIC ENVIRONMENT
• Government Funding
• Federal Government
  • FIGURE 2 TRENDS N PROJECTED FEDERAL HEALTH IT SPENDING, 2008- 2013 ($ BILLIONS)
  • FIGURE 2 (CONTINUED)
• Other Government Entities
• "Massachusetts 60
• Minnesota 60"
• "New York State 60
• New York City 61"
• "Vermont 61
• Nonprofit Funding 62
• California Health Care Foundation 62
• Colorado Health Foundation 62
• Regenstrief Institute 63
• Markle Foundation 63
• Robert Wood Johnson Foundation 64
• Private Funding 64
• Care Providers 64
• Investment and Financing Trends in the Hospital Industry 64"
  • FIGURE 3 EFFECT OF ECONOMIC DOWNTURN ON HOSPITALS' IT SPENDING (%)
• "Physician Practice Financial Trends 65
• Implications for ARRA Incentive Program 66"
• Insurance Companies
• "Hawaii Medical Service Association 66
• Highmark Health Insurance 66"
• Mixed Public-Private Funding
• Washington Health Information Collaborative

Chapter-5: ELECTRONIC HEALTH CARE RECORDS: TECHNOLOGIES AND MARKETS

• SUMMARY
  • FIGURE 4 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2008-2014 ($ MILLIONS)
  • FIGURE 4 (CONTINUED)
• TECHNOLOGIES
• EHR VERSUS EMR
• EHR FUNCTIONALITIES
  • TABLE 5 TYPICAL EHR FUNCTIONALITIES
  • TABLE 5 (CONTINUED)
• CLIENT/SERVER ARCHITECTURE VERSUS APPLICATION SERVICE PROVIDER
• SUPPLIERS
  • TABLE 6 EHR TECHNOLOGY PROVIDERS
  • TABLE 6 (CONTINUED)
• MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2008- 2014
• IMPACT OF THE U.S. RECESSION
• IMPACT OF ARRA
  • TABLE 7 ARRA INCENTIVES AND THE MARKET FOR EHR
  • TABLE 8 POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS, THROUGH 2015 ($ BILLIONS)
• CONSTRAINTS ON IMPLEMENTATION CAPACITY
  • TABLE 9 REALISTIC U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, THROUGH 2014 ($ MILLIONS)

Chapter-6: PROVIDER ORDER ENTRY TECHNOLOGIES AND MARKETS, 2008- 2014

• SUMMARY
  • FIGURE 5 U.S. CPOE TECHNOLOGY MARKET, 2008- 2014 ($ MILLIONS)
• TECHNOLOGIES
• SUPPLIERS
  • TABLE 10 CPOE TECHNOLOGY SUPPLIERS
• MARKET FOR PROVIDER ORDER ENTRY TECHNOLOGIES, 2008- 2014
  • TABLE 11 NUMBER OF U.S. HOSPITALS WITH CPOE SYSTEMS, 2002- 2007
  • TABLE 12 U.S. MARKET FOR CPOE SYSTEMS, THROUGH 2014 ($ MILLIONS)

Chapter-7: ELECTRONIC PRESCRIBING: TECHNOLOGIES AND MARKETS, 2008- 2014

• SUMMARY
  • FIGURE 6 U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2008- 2014 ($ MILLIONS)
• TECHNOLOGIES
• CURRENT PRACTICES
• ELECTRONIC PRESCRIBING
• E-Prescribing Software
• E-Prescribing ... (Continued)
• Installed Applications
• Web-Based Applications
• Mobile Interface Devices
• PDAs
• Smart Phones
• Electronic Data Interchange
• SUPPLIERS
  • TABLE 13 E-PRESCRIPTION SOFTWARE SUPPLIERS
  • TABLE 13 (CONTINUED)
• MARKET FOR E-PRESCRIBING SOFTWARE, 2008- 2014
  • TABLE 14 U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES, THROUGH 2014 ($ MILLIONS)
  • FIGURE 7 U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS (%)
  • FIGURE 7 (CONTINUED)

Chapter-8: PICTURE ARCHIVING AND COMMUNICATIONS TECHNOLOGIES AND MARKETS, 2008- 2014

• SUMMARY
  • FIGURE 8 U.S. PACS TECHNOLOGY MARKET, 2008- 2014 ($ MILLIONS)
• TECHNOLOGIES
• ARCHITECTURES
• In-House PACS
• Web-Based PACS
• DICOM and Web-Based PACS
• INTEGRATED PACS/RICS
• PACS STORAGE AND ARCHIVING
• Advanced Storage Technologies
• Holographic Storage
• Digital Image Compression
• SUPPLIERS
  • TABLE 15 PACS TECHNOLOGY SUPPLIERS
• MARKET FOR PICTURE ARCHIVING AND COMMUNICATION TECHNOLOGIES, 2008- 2014
  • FIGURE 9 U.S. PACS SALES, 2008 (%)
  • FIGURE 9 (CONTINUED)
  • TABLE 16 U.S. MARKET FOR PACS, THROUGH 2014 ($ MILLIONS)

Chapter-9: LABORATORY INFORMATION SYSTEMS TECHNOLOGIES AND MARKETS, 2008- 2014

• SUMMARY
  • FIGURE 10 U.S. LABORATORY INFORMATION SYSTEM MARKET, 2008- 2014 ($ MILLIONS)
• TECHNOLOGIES
• INTEROPERABIILTY ISSUES
• LIS-CPOE Interoperability
• LIS-CDSS Interoperability
• LIS-EHR Interoperability
• DATA STANDARDS
• SUPPLIERS
  • TABLE 17 LABORATORY INFORMATION SYSTEM SUPPLIERS
• MARKET FOR LABORATORY INFORMATION SYSTEMS TECHNOLOGIES, 2008- 2014
  • TABLE 18 U.S. MARKET FOR LIS, THROUGH 2014 ($ MILLIONS)

Chapter-10: CLINICAL DECISION SUPPPORT TECHNOLOGIES AND MARKETS, 2008- 2014

• SUMMARY
  • FIGURE 11 U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2008- 2014 ($ MILLIONS)
• TECHNOLOGIES
• KNOWLEDGE-BASED SYSTEMS
• Expert Systems
• Probabilistic Systems
• Bayesian Networks
• Heuristic Systems
• NON-KNOWLEDGE-BASED SYSTEMS
• Artificial Neural Networks
• Genetic Algorithms
• WORKFLOW INTEGRATION
• SUPPLIERS
  • TABLE 19 CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS
• MARKET FOR CLINICAL DECISION SUPPORT TECHNOLOGIES, 2008- 2014
  • TABLE 20 U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH 2014 ($ MILLIONS)

Chapter-11: TELEMEDICINE TECHNOLOGIES AND MARKETS, 2008- 2014

• SUMMARY
  • FIGURE 12 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2008- 2014 ($ MILLIONS)
• TECHNOLOGIES
• TELECONFERENCING
• Real-Time, Store-and-Forward, and Hybrid Teleconferencing
• IP-Based Videoconferencing
• Peripheral Devices
• HOME MEDICAL TELEMETRY
• Telehomecare
• Mobile Phone-Based Technologies
• Bluetooth
• Signal Transmission via Human Skin
• ZigBee
• SUPPLIERS
  • TABLE 21 TELEMEDICINE EQUIPMENT AND TECHNOLOGY SUPPLIERS
• MARKETS
  • TABLE 22 U.S. MARKET FOR TELEHEALTH TECHNOLOGIES, THROUGH 2014 ($ MILLIONS)
  • FIGURE 13 TELEHEALTH TECHNOLOGY MARKET SEGMENTS, 2008- 2014 (%)
• VIDEOCONFERENCING EQUIPMENT AND PERIPERALS
  • TABLE 23 U.S. MARKET FOR TELEMEDICINE VIDEOCONFERENCING EQUIPMENT AND PERIPHERAL DEVICES, THROUGH 2014 ($ MILLIONS)
• Videoconferencing Equipment
  • FIGURE 14 U.S. MARKET FOR TELEMEDICINE VIDEOCONFERENCING TECHNOLOGY AND SERVICES, 2008 (%)
  • TABLE 24 U.S. MARKET FOR TELEMEDICINE VIDEOCONFERENCING TECHNOLOGIES, THROUGH 2014 ($ MILLIONS)
• Peripheral Devices
  • TABLE 25 U.S. MARKET FOR TELEMEDICINE/TELEHEALTH VIDEOCONFERENCING PERIPHERAL DEVICES, THROUGH 2014 ($ MILLIONS)
• HOME MEDICAL TELEMETRY
  • TABLE 26 U.S. MARKET FOR HOME TELEMETRY TECHNOLOGIES, THROUGH 2014 ($ MILLIONS)

Chapter-12: INDUSTRY STRUCTURE

• NUMBER AND SIZE OF FIRMS
  • FIGURE 15 CLINICAL HEALTH CARE IT FIRMS SEGMENTED BY ANNUAL SALES REVENUES (%)
• PRODUCT SPECIALIZATION
  • FIGURE 16 CLINICAL HEALTH CARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION (%)
• MERGER AND ACQUISITION TRENDS
• MERGER AND ACQUISITION TRENDS (CONTINUED)

Chapter-13: APPENDIX

• APPENDI A: COMPANY PROFILES
• AGFA HEALTHCARE
• ALLSCRIPTS, INC.
• AMAZING CHARTS.COM, INC
• AMD TELEMEDICINE
• AMICAS, INC.
• CARD GUARD AG
• CARESTREAM HEALTH, INC.
• CERNER CORP.
• CYBERNET SYSTEMS CORP.
• DATALOGIC S.P.A.
• DIGICHART, INC.
• DRFIRST.COM
• ECLIPSYS CORPORATION
• EMEGEON INC.
• FUJIIFILM MEDICAL SYSTEMS USA, INC.
• GE HEALTHCARE
• GEMMS
• GLOBALMEDIA GROUP LLC
• HEALTH FRONTIER, INC.
• HEALTHLAND
• ISABEL HEALTHCARE INC.
• LANGUAGE AND COMPUTING, INC.
• LIFECOM, INC.
• LOGICAL IMAGES, INC.
• MASSACHUSETTS GENERAL HOSPITAL
• MCKESSON CORP.
• MEDRX
• MEDVITAL
• MERGE HEALTHCARE INC.
• MERGE HEALTHCARE INC. (CONTINUED)
• M*MODAL
• MICROSOFT CORP.
• NCD MEDICAL CORP.
• NUANCE COMMUNICATIONS, INC.
• ONTOLOGY WORKS, INC.
• PHILIPS HEALTHCARE
• POLYCOM INC.
• PROBLEM-KNOWLEDGE COUPLERS
• SCOTTCARE CORP.
• SENSITRON INC.
• SIEMENS HEALTHCARE
• SURESCRIPTS LLC
• T+ MEDICAL AMERICAS, INC.
• TELEVITAL
• THERADOC INC.
• UNITED THERAPEUTICS CORP.
• VERICHIP CORPORATION
• ZYNX HEALTH INC.
• APPENDIX B: PATENT ANALYSIS
  • FIGURE 17 U.S. CLINICAL HEALTH CARE IT PATENTS ISSUED SINCE 1975 (%)
  • FIGURE 18 U.S. CLINICAL HEALTH CARE IT PATENT APPLICATOINS PENDING AS OF APRIL 15, 2009 (%)