Table of Contents
1 Table of Contents 2
1.1 List of Tables 9
1.2 List of Figures 11
2 Introduction 13
2.1 What Is This Report About? 13
2.2 Definitions
13
2.2.1 Healthcare IT 13
2.2.1.1 Hospital Information Systems (HIS)
13
2.2.1.2 Storage and Communication Systems 14
3 Healthcare Sector
Review 15
3.1 Healthcare Expenditure 15
3.2 Healthcare Infrastructure
16
3.3 Healthcare Policy 18
4 Healthcare IT in United Kingdom 19
4.1 Healthcare IT Overall Revenues (2000-2012) 19
4.2 Healthcare IT
Overall Company Share (2006-2007) 25
5 Hospital Information Systems in
United Kingdom 26
5.1 Hospital Information Systems Overall Revenues
(2000-2012) 26
5.1.1 Electronic Medical Records Overall Revenues
(2000-2012) 30
5.1.2 Practice Management Overall Revenues (2000-2012)
32
5.1.3 Computerized Physician Order Entry Overall Revenues (2000-2012)
34
5.2 Hospital Information Systems Distribution Share (2006-2007) 36
5.3 Hospital Information Systems Company Share (2006-2007) 37
6 Storage
and Communication Systems in United Kingdom 38
6.1 Storage and
Communication Systems Overall Revenues (2000-2012) 38
6.1.1 PACS Overall
Revenues (2000-2012) 42
6.1.2 RIS Overall Revenues (2000-2012) 44
6.2
Storage and Communication Systems Distribution Share (2006-2007) 46
6.3
Storage and Communication Systems Company Share (2006-2007) 47
7 iSOFT
Group plc Company Profile 48
7.1 Company Overview 48
7.2 Business
Overview 48
7.2.1 Products 49
7.2.2 History 50
7.3 Locations And
Subsidiaries 51
8 Siemens Medical Solutions Company Profile 53
8.1
Company Overview 53
8.2 Business Overview 53
8.2.1 Siemens Medical
53
8.2.1.1 Overview 53
8.2.1.2 Financials 53
8.2.1.3 Market View
53
8.2.1.4 Key Strategies 53
8.2.2 Products 54
8.2.3 History
55
8.3 Value Chain Analysis 56
8.3.1 Manufacturing 56
8.3.1.1 In
House Manufacturing 56
8.3.1.2 Outsourcing 56
8.3.2 Product
Development 57
8.3.2.1 Regulatory Approvals 57
8.3.2.2 Clinical Trials
57
8.3.2.3 Research and Development 57
8.3.3 Sales and Marketing
57
8.3.3.1 Partnerships and Alliances 57
8.3.3.2 E-distribution 57
8.4 SWOT Analysis 58
8.4.1 Siemens Medical Solutions Strengths 58
8.4.1.1 Expertise in technology 58
8.4.1.2 Strong product portfolio 59
8.4.1.3 Global presence 59
8.4.2 Siemens Medical Solutions Weaknesses
59
8.4.2.1 Focus on in vitro diagnostics 59
8.4.3 Siemens Medical
Solutions Opportunities 59
8.4.3.1 New product launches 59
8.4.3.2
Acquisitions 59
8.4.3.3 Strategic partnerships 60
8.4.4 Siemens
Medical Solutions Threats 60
8.4.4.1 Change in market conditions 60
8.4.4.2 Introduction of innovative technologies 60
8.4.4.3 Huge
competition 60
8.5 Locations and Subsidiaries 61
8.6 Siemens Medical
Solutions Pipeline Products 62
8.6.1 Acuson S2000 62
8.6.1.1 Product
Overview 62
8.6.1.2 Product Description 62
8.6.1.3 Product Status
62
8.6.1.4 Product Milestone 62
8.6.2 Syngo DynaCT 63
8.6.2.1
Product Overview 63
8.6.2.2 Product Description 63
8.6.2.3 Product
Status 63
8.6.2.4 Product Milestone 63
8.6.3 Syngo iGuide 64
8.6.3.1 Product Overview 64
8.6.3.2 Product Description 64
8.6.3.3
Product Status 64
8.6.4 Syngo iPilot 64
8.6.4.1 Product Overview
64
8.6.4.2 Product Description 64
8.6.4.3 Product Status 65
8.6.5
Siemens 7T MRI system 65
8.6.5.1 Product Overview 65
8.6.5.2 Product
Description 65
8.6.5.3 Product Status 65
8.6.6 Siemens 11.7T MRI
system 66
8.6.6.1 Product Overview 66
8.6.6.2 Product Description
66
8.6.6.3 Product Status 66
8.6.7 REMIND platform - REMIND Clinical
Decision Support (CDS) 66
8.6.7.1 Product Overview 66
8.6.7.2 Product
Description 66
8.6.7.3 Product Status 67
8.6.7.4 Product Milestone
67
8.6.8 Synapse PACS (expanded data model) 67
8.6.8.1 Product
Overview 67
8.6.8.2 Product Description 68
8.6.8.3 Product Status
68
8.6.9 Virtual Touch tissue imaging 68
8.6.9.1 Product Overview
68
8.6.9.2 Product Description 68
8.6.9.3 Product Status 69
8.6.9.4 Product Milestone 69
8.6.9.5 Product Patent Details 69
8.6.10
Virtual Touch tissue quantification 70
8.6.10.1 Product Overview 70
8.6.10.2 Product Description 70
8.6.10.3 Product Status 70
8.6.10.4
Product Patent Details 70
9 McKesson Corporation Company Profile 72
9.1 Company Overview 72
9.2 Business Overview 72
9.2.1
Medical-Surgical Solutions 72
9.2.1.1 Overview 72
9.2.1.2 Financials
72
9.2.2 Pharmaceutical Solutions 72
9.2.2.1 Overview 72
9.2.2.2
Financials 73
9.2.3 Provider Technologies 73
9.2.3.1 Overview 73
9.2.3.2 Financials 73
9.2.4 Products 73
9.2.5 History 74
9.3 Value
Chain Analysis 75
9.3.1 Manufacturing 75
9.3.1.1 In House
Manufacturing 75
9.3.2 Product Development 76
9.3.2.1 Regulatory
Approvals 76
9.3.2.2 Research and Development 76
9.3.3 Sales and
Marketing 76
9.3.3.1 Partnerships and Alliances 76
9.3.3.2 Licensing
Agreements 77
9.4 SWOT Analysis 77
9.4.1 McKesson Corporation
Strengths 77
9.4.1.1 Strong market position 77
9.4.1.2 Growing
provider technologies division 78
9.4.1.3 Value added offerings 78
9.4.2 McKesson Corporation Weaknesses 78
9.4.2.1 High dependence on the
U.S. 78
9.4.2.2 Weak sales growth 78
9.4.3 McKesson Corporation
Opportunities 78
9.4.3.1 Aging U.S. population 78
9.4.3.2 Expanding
generics market 78
9.4.3.3 Acquisitions 79
9.4.4 McKesson Corporation
Threats 79
9.4.4.1 Stiff competition 79
9.4.4.2 Loss of key customers
79
9.4.4.3 Re-importation of drugs 79
9.5 Financial and Operational
Review 80
9.5.1 Financial Statements 80
9.5.2 Financial Ratios 81
9.6 Locations and Subsidiaries 82
10 Medical Information Technology, Inc.
Company Profile 84
10.1 Company Overview 84
10.2 Business Overview
84
10.2.1 Products 85
10.2.2 History 85
10.3 Locations and
Subsidiaries 88
11 Misys Healthcare Systems, Inc. Company Profile 89
11.1 Company Overview 89
11.2 Business Overview 89
11.2.1 Products
90
11.2.2 History 90
11.3 Locations and Subsidiaries 91
12
Regulation System 93
12.1 Medical Equipment Approval Process 93
12.1.1
Classification of Medical Devices 93
12.1.2 Conformity Assessment Process
101
12.1.2.1 Class I devices 102
12.1.2.2 Class IIa devices 103
12.1.2.3 Class IIb devices 104
12.1.2.4 Class III devices 105
12.2
Medical Device approval fee 105
12.3 Post Market Surveillance (PMS)
106
13 Pricing and Reimbursement 107
13.1 Market Pricing 107
13.2
Government Policies for Reimbursement 107
14 Distribution Structure
109
15 Financial Deals Landscape 110
15.1 Acquisition 110
15.1.1
Philips Medical Systems Acquires TOMCAT Systems 110
15.1.2 IBA Health
Acquires iSoft Group 111
15.2 Partnership 113
15.2.1 HTH Worldwide
Enters Into An Agreement With Hogg Robinson Group 113
15.2.2 EQ2 Signs
Distribution Agreement With BCAS Biomedical 114
16 Recent Developments
116
16.1 Strategy And Business Planning 116
16.1.1 Jun 13, 2008: GE
Healthcare Plans To Establish A Regional Headquarters In Istanbul, Turkey
116
16.1.2 May 22, 2008: GE Healthcare And Satyam Announces Alliance
116
16.2 Corporate Communications 117
16.2.1 Aug 01, 2008: iSOFT
Appoints Group Director, Enterprise Healthcare 117
16.2.2 Jul 17, 2008: GE
Health Care Appoints New CEO 117
16.2.3 May 29, 2008: Premier Research
Appoints Executive Director, Global Head Of Medical Management And Safety
118
16.2.4 Apr 24, 2008: LiDCO Appoints Group Finance Director 118
16.3 Product News 119
16.3.1 Aug 27, 2008: Sunquest Releases Anatomic
Pathology System In UK 119
17 Appendix 120
17.1 Global Markets Direct
Research Methodology 120
17.2 Coverage 121
17.3 Secondary Research
121
17.4 Primary Research 122
17.5 Models 122
17.6 Forecasts
123
17.7 Expert Panels 123
17.8 Currency Conversion 124
17.9
Contact Us 125
17.10 Disclaimer 125
1.1 List of Tables
Table
1: Number of Doctor by Specialty in UK, 2003 - 2007 17
Table 2: Healthcare
IT, United Kingdom, Overall Revenues ($ mn), 2000-2012 19
Table 3:
Healthcare IT, United Kingdom, Overall Revenues ($ mn), Historic, 2000-2007
20
Table 4: Healthcare IT, United Kingdom, Overall Revenues ($ mn),
Forecast, 2007-2012 21
Table 5: Healthcare IT, United Kingdom, Overall
Revenues ($ mn), 2000-2012 22
Table 6: Healthcare IT, United Kingdom,
Overall Revenues ($ mn), Historic, 2000-2007 23
Table 7: Healthcare IT,
United Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012 24
Table 8:
Healthcare IT, United Kingdom, Overall Company Share by Revenue ($ mn),
2006-2007 25
Table 9: Hospital Information Systems, United Kingdom,
Overall Revenues ($ mn), Historic, 2000-2007 26
Table 10: Hospital
Information Systems, United Kingdom, Overall Revenues ($ mn), Forecast,
2007-2012 27
Table 11: Hospital Information Systems, United Kingdom,
Revenue by Segment ($ mn), Historic, 2000-2007 28
Table 12: Hospital
Information Systems, United Kingdom, Revenue by Segment ($ mn), Forecast,
2007-2012 29
Table 13: Electronic Medical Records, United Kingdom, Overall
Revenues ($ mn), Historic, 2000-2007 30
Table 14: Electronic Medical
Records, United Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012 31
Table 15: Practice Management, United Kingdom, Overall Revenues ($ mn),
Historic, 2000-2007 32
Table 16: Practice Management, United Kingdom,
Overall Revenues ($ mn), Forecast, 2007-2012 33
Table 17: Computerized
Physician Order Entry, United Kingdom, Overall Revenues ($ mn), Historic,
2000-2007 34
Table 18: Computerized Physician Order Entry, United Kingdom,
Overall Revenues ($ mn), Forecast, 2007-2012 35
Table 19: Hospital
Information Systems, United Kingdom, Distribution Share by Revenue ($ mn),
2006-2007 36
Table 20: Hospital Information Systems, United Kingdom,
Company Share by Revenue ($ mn), 2006-2007 37
Table 21: Storage and
Communication Systems, United Kingdom, Overall Revenues ($ mn), Historic,
2000-2007 38
Table 22: Storage and Communication Systems, United Kingdom,
Overall Revenues ($ mn), Forecast, 2007-2012 39
Table 23: Storage and
Communication Systems, United Kingdom, Revenue by Segment ($ mn), Historic,
2000-2007 40
Table 24: Storage and Communication Systems, United
Kingdom, Revenue by Segment ($ mn), Forecast, 2007-2012 41
Table 25:
PACS, United Kingdom, Overall Revenues ($ mn), Historic, 2000-2007 42
Table 26: PACS, United Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012
43
Table 27: RIS, United Kingdom, Overall Revenues ($ mn), Historic,
2000-2007 44
Table 28: RIS, United Kingdom, Overall Revenues ($ mn),
Forecast, 2007-2012 45
Table 29: Storage and Communication Systems, United
Kingdom, Distribution Share by Revenue ($ mn), 2006-2007 46
Table 30:
Storage and Communication Systems, United Kingdom, Company Share by Revenue ($
mn), 2006-2007 47
Table 31: iSOFT Group plc, Other Locations 51
Table 32: iSOFT Group plc, Other Locations(Contd..) 52
Table 33:
Siemens Medical Solutions, SWOT Analysis 58
Table 34: Siemens Medical
Solutions, Other Locations 61
Table 35: Siemens Medical Solutions,
Subsidiaries 61
Table 36: McKesson Corporation, SWOT Analysis , 2007
77
Table 37: McKesson Corporation, Financial Statements, USD Million,
2003-2007 80
Table 38: McKesson Corporation, Financial Ratios, USD
Million, 2003-2007 81
Table 39: McKesson Corporation, Other Locations
82
Table 40: McKesson Corporation, Other Locations(Contd..) 83
Table 41: Misys Healthcare Systems, Inc., Subsidiaries 92
Table 42:
Medical Device Approval Fee in UK, 2006 106
Table 43: Currency
Conversion from USD to Local Currency at 2007 Constant Rate 124
1.2
List of Figures
Figure 1: Total Healthcare Expenditure in UK, 2000 - 2006
16
Figure 2: Healthcare IT, United Kingdom, Overall Revenues ($ mn),
2000-2012 19
Figure 3: Healthcare IT, United Kingdom, Overall Revenues ($
mn), Historic, 2000-2007 20
Figure 4: Healthcare IT, United Kingdom,
Overall Revenues ($ mn), Forecast, 2007-2012 21
Figure 5: Healthcare IT,
United Kingdom, Overall Revenues ($ mn), 2000-2012 22
Figure 6: Healthcare
IT, United Kingdom, Overall Revenues ($ mn), Historic, 2000-2007 23
Figure
7: Healthcare IT, United Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012
24
Figure 8: Healthcare IT, United Kingdom, Overall Company Share (%),
2007 25
Figure 9: Hospital Information Systems, United Kingdom, Overall
Revenues ($ mn), Historic, 2000-2007 26
Figure 10: Hospital Information
Systems, United Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012 27
Figure 11: Hospital Information Systems, United Kingdom, Revenue by Segment ($
mn), Historic, 2000-2007 28
Figure 12: Hospital Information Systems,
United Kingdom, Revenue by Segment ($ mn), Forecast, 2007-2012 29
Figure
13: Electronic Medical Records, United Kingdom, Overall Revenues ($ mn),
Historic, 2000-2007 30
Figure 14: Electronic Medical Records, United
Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012 31
Figure 15:
Practice Management, United Kingdom, Overall Revenues ($ mn), Historic,
2000-2007 32
Figure 16: Practice Management, United Kingdom, Overall
Revenues ($ mn), Forecast, 2007-2012 33
Figure 17: Computerized Physician
Order Entry, United Kingdom, Overall Revenues ($ mn), Historic, 2000-2007
34
Figure 18: Computerized Physician Order Entry, United Kingdom, Overall
Revenues ($ mn), Forecast, 2007-2012 35
Figure 19: Hospital Information
Systems, United Kingdom, Company Share (%), 2007 37
Figure 20: Storage and
Communication Systems, United Kingdom, Overall Revenues ($ mn), Historic,
2000-2007 38
Figure 21: Storage and Communication Systems, United Kingdom,
Overall Revenues ($ mn), Forecast, 2007-2012 39
Figure 22: Storage and
Communication Systems, United Kingdom, Revenue by Segment ($ mn), Historic,
2000-2007 40
Figure 23: Storage and Communication Systems, United
Kingdom, Revenue by Segment ($ mn), Forecast, 2007-2012 41
Figure 24:
PACS, United Kingdom, Overall Revenues ($ mn), Historic, 2000-2007 42
Figure 25: PACS, United Kingdom, Overall Revenues ($ mn), Forecast, 2007-2012
43
Figure 26: RIS, United Kingdom, Overall Revenues ($ mn), Historic,
2000-2007 44
Figure 27: RIS, United Kingdom, Overall Revenues ($ mn),
Forecast, 2007-2012 45
Figure 28: Storage and Communication Systems,
United Kingdom, Company Share (%), 2007 47
Figure 29: Siemens Medical
Solutions, Value Chain Analysis 56
Figure 30: McKesson Corporation,
Value Chain Analysis 75
Figure 31: Flowchart for Classification of
Non-invasive Devices in UK, 2007 94
Figure 32: Flowchart for
Classification of Invasive Devices in UK, 2007 95
Figure 33: Flowchart for
Classification of Invasive Devices in UK, 2007 96
Figure 34: Flowchart for
Classification of Invasive Devices in UK, 2007 97
Figure 35: Flowchart for
Classification of Invasive Devices in UK, 2007 98
Figure 36: Flowchart for
Classification of Active Devices in UK, 2007 99
Figure 37: Flowchart for
Classification of Active Devices in UK, 2007 100
Figure 38: Flowchart for
Classification of Devices except Non-invasive, Invasive and Active Devices in
UK, 2007 101
Figure 39: Conformity Assessment of Class-I Medical Devices
in UK, 2007 102
Figure 40: Conformity Assessment of Class-IIa Medical
Devices in UK, 2007 103
Figure 41: Conformity Assessment of Class-IIb
Medical Devices in UK, 2007 104
Figure 42: Conformity Assessment of
Class-III Medical Devices in UK, 2007 105
Figure 43: Global Markets Direct
Methodology 120