Telemedicine and M-Health Convergence Market
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Clinical telemedicine services converge with m-health systems of engagement to lower cost of care and improve quality of care. Tele-medicine and M-Health Market Convergence driving forces relate to an overall trend toward ordinary people taking more responsibility for their own health. This trend has been more prevalent for women in the past 100 years than for men because women used to die very young and they had to learn how to keep themselves healthy. Women have been able to reverse this trend of dying young and to live longer than men in the past 40 years, illustrating that paying attention to health is important.
Healthcare patient, physician, and facility decision support markets are forecast based n the broad availability of smartphones combined with the IBM Watson technology that Watson offers Interactive Care Insights for Oncology. The cognitive systems use insights gleaned from the deep experience of Memorial Sloan-Kettering clinicians. Watson is positioned to permit clinicians to provide individualized treatment.
More options are based on patient medical information. IBM Watson in combination with Memorial Sloan-Kettering Cancer Center has information that represents the synthesis of a vast array of updated and vetted treatment. It is able to compute individual treatment guidelines. This represents a revolution in cancer treatment care and presages a major revolution in all healthcare treatment and diagnosis.
Because Watson is able to leverage published research it can stay more current than any clinician or group of clinicians can. Watson-is a cognitive computing system. The aim of Watson is to streamline the healthcare delivery process. Watson supports the healthcare decision making process. The system has the ability to ensure evidence-based care is provided.
Both tele-medicine and m-health contribute to healthcare delivery in the home. M-health will surely be delivered over the smart phone. Tele-medicine is evolving toward smart phone device delivery as well.
The cost of tele-medicine for the US veterans administration is $1,600 per patient per annum. This is substantially less than other NIC programs and nursing home care which can easily run to $100,000 per annum. VHA's experience is that an enterprise-wide home tele-medicine implementation is an appropriate and cost-effective way of managing chronic care patients in both urban and rural settings.
Chronic disease conditions are best treated early on when there is a change in patient condition and an early intervention can make a difference. It is even better to treat them in a wellness treatment environment before there are indications of chronic disease, before symptoms develop, by addressing lifestyle issues early on.
Left to their own judgments, some patients typically are apt to make terrible decisions relating to their personal health either because of ignorance, genetic inheritance, or because of lifestyle habit. The ability to accurately access patient condition via a combination of advanced testing and telemonitoring creates the opportunity to intervene when what is called for clinically can make a difference, and permits provision for education regarding healthy living in a way that is likely to create compliance with clinician recommendations.
Home telemonitoring programs need to use advanced technology. Effective monitors support patient education. They support timely clinician intervention based on real vital signs data gathered on a daily basis. Health care for patients with congestive heart failure has been shown to be successful in reducing hospitalizations and trips to the emergency department, making these critical measures unnecessary in many cases.
Home patient monitoring means two things: the imminent rise of the expert patient whom the health authorities anticipate would self-manage his long-term medical conditions and the prominence of mobile devices as the go-between for clinicians and patients.
Telemedicine markets are emerging software markets. The consumer tablet computers are poised to become ubiquitous and inexpensive. As this happens telemedicine is becoming a fee for services much as a cell phone. The software runs on industry standard tablet computing devices. Clinicians gather patients information on a daily basis and provide consultation and intervention as needed for chronic conditions.
Telemedicine now delivered on proprietary devices is becoming obsolete. The Honeywell / Samsung strategic alliance represents the model that works. Telemedicine market analysis indicates that the price points are way below device costs and that companies are seeking to gain market share by working with clients.
Telemedicine device and software companies recognize that their revenue stream will come from services delivery. Just as cell phones are paid for in conjunctions with the services contracts, so also the telemedicine applications will be paid by insurance. In some cases the insurance companies recognize that their long term costs are lower by delivering clinical intervention to try to impact lifestyle for patients with chronic disease conditions.
The telemedicine in the home is cheaper than the consequent emergency room visits and hospitalizations that occur if chronic conditions are ignored. There is a certain inevitability related to chronic disease condition care delivery. People that take care of themselves tend to stay healthy. People that are not attentive to protecting their health tend to have medical conditions that contribute to deteriorating health and benefit from early intervention when it is delivered in a manner to which the person can relate.
Telemedicine is, at its core, a way to extend clinical services to make them part of lifestyle consultation. . It provides a way to initiate two way communications with a patient, forever changing the doctor – patient relationship to a collaborative one. It means that physicians need to build collaboration skills or delegate those to their nurses which they have always done, but this time in a more effective manner, on that is supported by technology.
Telemedicine systems come from IBM, Intel, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems. Tablets are poised to change telemedicine as are telepresence systems from Logitech among others. Clinical diagnosis is being impacted by the decision support systems. Clinical decision support systems (CDSS) have been a key aspect of telemedicine. Bosch offers the ability to track and update on a daily basis, questions that are able to address actual situations that patients face.
Diagnostic support expert systems promise to revolutionize healthcare. The mandated electronic health record (EHR) systems in all healthcare facilities, is a key enabler of diagnostic support expert systems. The objectives are to promote better and cheaper healthcare using diagnostic support based on the patient data collected from the telemedicine systems. With the large amount of new data collected by the newly installed EHR systems, computers like the Watson will be able to find optimal answers to clinical questions much more efficiently than the human mind.
Two major categories are diagnostic support tools and treatment support tools. Chronic conditions requires continuous diagnostic support because a continuous flow of information on patient change in conditions helps physicians make a better diagnosis based on the patient symptoms, medications, and medical records.
Treatment support helps clinicians stay compliant with known treatment guidelines such as avoiding known drug interactions, dispensing the right medication to the right patients, and staying on schedule with response to changes in patient condition.
According to Susan Eustis, lead author of the WinterGreen Research team that prepared the telemedicine market research study, "Differential diagnostic tools support differential telemedical treatment. The decision process take into account clinical findings form the home monitoring devices and from symptoms verbally communicated in a clinical services implementation."
She continued, "Care delivery is enhanced by having clinicians be responsive to changes in patient condition that we know will lead to further patient deterioration if not treated immediately. A core part of responsible healthcare delivery is to use technology for healthcare reform. There is a focus on how to deliver care differently using telemedicine. No matter who pays for it, the use of telemedicine is anticipated to reduce the overall costs of healthcare delivery. Innovation is key to achieving improvements."
For long-term success, telehealth solutions require sustainable financing models. Investments in telehealth technologies foster sustainability by enabling productivity and efficiency gains and other improvements that can more than justify investment costs.
Government and local authorities have long recognized the potential of telehealth technology as a tool for delivering health and social care services. This is an increasing imperative given the increasing age demographic and the backdrop of static or reducing funding. Telehealth initiatives must demonstrate credibility and viability beyond the pilot and trial programs in order to achieve the goal of increased capability through technology.
Device installer partners define benefits in terms of increased sales and consultancy. A sustaining finance model is an essential aspect of telehealth. Telemedicine is analogous to the telecommunications industry where a large upfront investment is required an, usage models and complementary technologies must emerge and finally they must be integrated into existing healthcare service delivery paradigms.
Workflows are required to integrate the telehealth components into the existing solutions. This is possibly the area of greatest challenge. Upfront costs are high. Once the telehealth solution has been implemented initiatives are cost effective.
Since insurance companies have the responsibility for taking care of all people, not just the healthy ones and the health conscious people, they benefit from encouraging the use of telemedicine. The US veterans' administration recognizes this reality and has in place extensive telemedicine programs. While some hospitals benefit from an increase in hospitalizations, insurers do not.
There is a services component to the business that makes it attractive to sell the devices below cost. The tablet market revolutionizes telemedicine.
Once FDA approved software runs on a tablet, people with an existing unit can download software and be equipped with a way to interact with the clinical service that performs monitoring. Long term, the services will be a very attractive part of telemonitoring.
Telemedicine dedicated device and software markets at $843 million in 2012 are anticipated to reach $2.9 billion by 2019. M-Health markets related to telemedicine at $1.4 billion are anticipated to reach $1.5 trillion by 2019 due to the use of 7 billion smart phones and half that many connected tablet devices all over the world.
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Table of Contents Tele-Medicine / M-Health Executive Summary ES-1
Tele-Medicine and M-Health Market Driving Forces ES-1 Tele-medicine IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems ES-7 Tele-medicine Market Driving Forces ES-12 Measures of Tele-Medicine Effectiveness ES-13 Home Patient Monitoring Supports Patient Education ES-14 Wireless Tele-medicine Devices ES-14 Real-Time Monitoring Of Physiological Data ES-16 Tele-medicine Medical Solutions Market Shares ES-17 Tele-Medicine Solution Market Forecasts ES-20
1. Telemedicine Market Description and Market Dynamics 1-1
1.1 Remote Monitoring as Standard of Care 1-1 1.1.1 Telemonitoring Systems Premise 1-3 1.1.2 Sedentary Get Exercise And Heart Failure Patients Pay Attention To Swelling In Their Feet, Ankles Or Legs 1-3 1.1.3 Telemonitoring Systems Improve Home Health Care 1-4 1.1.4 Vital Signs And Health Status Are Measured Daily 1-5 1.1.5 Telemonitoring at Home 1-6 1.2 Telemedicine 1-6 1.2.1 Nursing Stations 1-7 1.2.2 Telemedicine Services 1-9 1.2.3 Service Provider Adoption of Tele-Monitoring 1-10 1.2.4 Telemedicine Delivery Mechanisms 1-14 1.2.5 Telemedicine Point-To-Point Connections 1-14 1.2.6 High Definition Video Communication 1-15 1.3 Telemonitors Customized To Meet Individual Needs 1-17 1.4 US Makes Telemedicine Priority 1-20 1.4.1 Federal Funding for Telemedicine 1-22 1.4.2 US Telemedicine Medicare – 1-22 1.4.3 US Veterans Health Administration (VA) Use of Telemonitoring 1-23 1.4.4 Telemonitoring Demonstrates Positive Results In Improving Health Care And Reducing Costs Of Veterans 1-24 1.4.5 US VA Tele-monitoring Targeted Innovation: 1-26 1.5 Tele-Monitor Devices 1-28 1.5.1 Customizing Tele-Monitors 1-28 1.5.2 Intel® Health Care Management Security 1-29 1.6 Telemonitoring Research 1-31 1.6.1 New England Journal of Medicine Research 1-32 1.6.2 NEJM Has Published Several Letters That Critique The Study 1-34 1.6.3 25 Studies of Remote Monitoring Of Patients With Chronic Heart Disease 1-37 1.6.4 Bosch Health Buddy Desktop Research 1-37 1.7 Physician Notification on CHF 1-38 1.8 US Patient Protection and Affordable Care Act 1-41 1.9 Federal, State, Local, And Foreign Laws Compliance 1-43 1.9.1 Government Regulation of Medical Devices 1-44 1.9.2 Before And After A Medical Device Is Commercially Distributed, Ongoing Responsibilities Under FDA Regulations 1-46 1.9.3 Tele-monitoring Third-Party Reimbursement 1-48 1.10 Health Information Privacy HIPAA Requirements 1-48 1.10.1 HIPAA Enforcement 1-55 1.10.2 OCR Responsible For Enforcing HIPAA Privacy and Security Rules 1-57 1.11 Postacute Care Co-ordination: Healthcare Reform Readmission Penalties 1-59 1.11.1 Federal Crimes Under The Health Insurance Portability and Accountability Act HIPAA 1-59 1.12 Partners Mass General Cardiologist Program for High Risk Heart Failure Patients 1-61
2. Tele-Medicine / M-Health Market Shares and Market Forecasts: Condensed Version 2-1
2.1 Tele-Medicine and M-Health Market Driving Forces 2-1 2.1.1 Real-Time Monitoring Of Physiological Data 2-4 2.1.2 M-Health and Tele-Medicine Market Convergence 2-5 2.2 M-Health and Tele-Medicine Key Market Shares and Market Forecasts 2-6 2.2.1 Telemedicine Chronic Disease Tracking Devices Market Share and Forecast 2-6 2.2.2 Telemedicine Computer Industry Vendor Market Share and Forecast 2-10 2.2.3 Healthcare Decision Support Market Forecasts 2-11 2.2.4 M-Health Wireless Tele-Health Apps 2-16 2.2.5 Rapid Readmissions 2-20 2.2.6 Medical Criteria to Ensure Hospitalizations Are Necessary Gets Outdated Too Fast 2-21 2.2.7 Telemedicine Sensors Market Share and Forecast 2-21 2.2.8 M-Health Apps 2-222.2.9 Telemedicine Carrier Services Market Shares and Forecast 2-23 2.2.10 Telemedicine Videoconferencing Market Shares and Forecast 2-26 2.2.11 All Regional Metrics Worldwide, US, EMEA, A/P 2-30 2.3 Tele-Medicine and M-Health Market Driving Forces 2-34 2.3.1 Tele-medicine IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems 2-41 2.3.2 Tele-medicine Market Driving Forces 2-45 2.3.3 Measures of Tele-Medicine Effectiveness 2-46 2.3.4 Home Patient Monitoring Supports Patient Education 2-47 2.3.5 Wireless Tele-medicine Devices 2-47 2.3.6 Real-Time Monitoring Of Physiological Data 2-49 2.4 Tele-medicine Medical Solutions Market Shares 2-50 2.4.1 Bosch Healthcare Leads Evidence Based Telemedicine 2-53 2.4.2 Bosch Health Buddy System Patient Coaching 2-55 2.4.3 Bosch Healthcare Telemedicine Custom Messaging 2-56 2.4.4 Bosch Healthcare Tele-medicine Wireless Modem 2-56 2.4.5 Bosch ViTelCare T400 Home Health Monitor 2-57 2.4.6 Bosch Installed Base 2-58 2.4.7 Bosch Telemedicine Solutions 2-58 2.4.8 Bosch Tele-medicine 2-58 2.4.9 Bosch Telemedicine Systems Certification in Disease Management From NCQA 2-59 2.4.10 IBM Watson 2-61 2.4.11 Viterion 2-62 2.4.12 Viterion Telemedicine 2-62 2.4.13 Philips 2-62 2.4.14 Intel / GE Care Innovations 2-63 2.4.15 Honeywell HomeMed 2-65 2.4.16 Honeywell HomMed Genesis Touch™Telemedicine 2-66 2.4.17 Samsung 2-67 2.4.18 Samsung Medical Business 2-67 2.4.19 MedApps HealthPAL MA105to Extend the Home Selects VRI 2-67 2.4.20 Nonin 2-68 2.4.21 VRI 2-68 2.4.22 VRI Healthcare Services 2-68 2.4.23 Gemalto / Cinterion 2-69 2.4.24 Gemalto CINTERION Wireless Module Functions 2-70 2.4.25 AT&T Addresses Medical Image Archives Increasing By 20% to 40% Annually 2-71 2.5 Tele-Medicine Solution Market Forecasts 2-71 2.5.1 Congestive Heart Failure 2-80 2.2.1 Diabetes Chronic Illness Numbers 2-82 2.2.2 Incidence of Chronic Disease 2-84 2.5.2 Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending 2-86 2.5.3 Clinical Staff / Patient Ratios: Physician Shortages 2-86 2.5.4 Viterion Home Health Outcomes in a CHF Population: 2-87 2.6 Carrier Service Provider Telemedicine Market Benefits and Market Forecasts 2-90 2.6.1 Carrier Service Provider Telemedicine Benefits 2-91 2.6.2 Carrier Service Provider Telemedicine Challenges 2-92 2.6.3 Telemedicine Carrier Service Providers 2-93 2.6.4 AT&T 2-93 2.6.5 Telemedicine Carrier Service Provider Telemedicine Market Forecasts 2-94 2.7 Telemedicine From Software and Hardware Providers 2-96 2.7.1 Intel / GE Care Innovations 2-96 2.7.2 IBM Watson Cognitive Computing 2-98 2.8 Tele-Medicine Prices and Reimbursement 2-101 2.8.1 Cost of Honeywell Homemed Home Health Monitoring & MedPartner 2-102 2.8.2 TouchPointCare 2-102 2.9 Interactive Voice Response (IVR) 2-102 2.9.1 Healthcare Providers Use Technology To Improve Effectiveness Of Care Providers 2-106 2.9.2 HHSC 107 2.10 M-Health and Tele-Medicine Insurance Initiatives 2-108 2.10.1 Aetna 2-108 2.10.2 Kaiser 2-108 2.10.3 Humana 2-108 2.10.4 UnitedHelathOne 2-109 2.10.5 Cigna 2-109 2.11 M-Health and Tele-Medicine Key Clinical Initiatives 2-109 2.11.1 Massachusetts General 2-109 2.11.2 WellPoint 2-110 2.11.3 Mayo Clinic 2-111 2.11.4 MD Anderson and Sloan Kettering 2-111 2.12 Tele-medicine Alarm Devices 2-111 2.12.1 Telemedicine Computer Industry Vendor Mark Share and Forecast 2-115 2.12.2 Healthcare Decision Support Market Forecasts 2-115 2.12.3 Natural Language Cognitive Computing Healthcare Decision Support Market 2-120 2.12.4 Healthcare Decision Support Market Forecasts, Facility, 2.12.5 Research, and Insurers 2-122 2.12.5 M-Health Wireless Tele-Health Apps 2-123 2.12.6 Smart Phone Home Tele Monitoring 2-127 2.12.7 eICUs 2-128 2.12.8 Healthcare Physician Decision Support Market Forecasts 2-128 2.12.9 Rapid Readmissions 2-130 2.12.10 Healthcare Decision Support Market Forecasts, Facility, Research, and Insurers 2-131 2.12.11 Tele-health Originating Site Facility Fee Payment Amount Update 2-133 2.12.12 Healthcare Decision Support Market Forecasts, Facility, Research, and Insurers 2-135 2.12.13 Medical Criteria to Ensure Hospitalizations Are Necessary Gets Outdated Too Fast 2-137 2.13 M-Health and Tele-Monitor Regional Markets 2-138 2.13.1 Remote Patient Monitoring Market In The US 2-142 2.13.2 Remote Patient Monitoring Market In Europe 2-142 2.13.3 Bosch Remote Patient Monitoring Regional Market Participation 2-142
3. Telemedicine / M-Health Product Description 3-1
3.1 Telemedicine Devices 3-1 3.2 Bosch Healthcare Telemedicine Solutions 3-2 3.2.1 Bosch Healthcare, Bosch Telemedicine and Care Solutions 3-2 3.2.2 Bosch Healthcare Supports Independent Living At Home 3-3 3.2.3 Bosch Telemedicine Solutions 3-3 3.2.4 Bosch Telemedicine Provides Daily Care for Patients with Chronic Conditions 3-4 3.2.5 Bosch Devices for Patients with Diabetes 3-4 3.2.6 Bosch Health Buddy Decision Support Tools 3-6 3.2.7 Bosch Patient Support System 3-7 3.2.8 Bosch Telemedicine Results 3-9 3.2.9 Bosch Healthcare Telemedicine Wireless Systems 3-9 3.2.10 Bosch Heath Buddy 3-10 3.2.11 Bosch Healthcare Telemedicine Custom Messaging Feature 3-11 3.2.12 Bosch Healthcare Telemedicine T400 Home Health Monitor 3-12 3.2.13 Bosch Healthcare Advancing Telemedicine Solutions Through Dialogue 3-14 3.2.14 Bosch Healthcare Telemedicine Growth 3-153.2.15 Bosch / McKesson Telemedicine Advisor 3-16 3.2.16 McKesson Channel Partner - The Bosch Group 3-19 3.3 Viterion 3-19 3.3.1 Viterion Telemedicine 3-23 3.3.2 ViterionNET Capabilities 3-25 3.3.3 ViterionNET Data-Encryption 3-27 3.3.4 Viterion® 200 Telemedicine Monitor For Diabetes Care 3-28 3.3.5 Alegent Health Homecare Viterion 100 Home Care Tele-monitoring Survey 3-29 3.4 Honeywell 3-32 3.4.1 Honeywell Tablet Telemedicine App 3-32 3.4.2 Honeywell Telemedicine Devices 3-33 3.4.3 Samsung Galaxy Tab to Run Honeywell Cloud Telemedicine App 3-33 3.4.4 Honeywell Genesis Touch Allows the Galaxy Tablet 3-34 3.4.5 Honeywell Genesis LifeStream Dashboard 3-34 3.4.6 Honeywell HomeMed Health Monitoring System: Visiting Nurses Association (VNA) 3-36 3.4.7 Honeywell HomMed MedPartner 3-38 3.4.8 Honeywell Homemed Health Monitoring System Criteria for Monitoring 3-39 3.4.9 Cost of Honeywell HomeMed Home Health Monitoring & MedPartner 3-40 3.4.10 Honeywell HomeMed Health Monitoring System FDA Class II, Hospital Grade, Medical Device 3-41 3.4.11 Honeywell HomMed Med Partner 3-42 3.4.12 Honeywell HomeMed's Genesis Touch Telemedicine App 3-43 3.4.13 Honeywell HomMed Genesis Touch include the Fuze Meeting visual collaboration 3-45 3.4.14 Honeywell HomMed LifeStream™ Platform 3-46 3.4.15 Honeywell HomMed LifeStream Connect 3-46 3.5 Cardiocom Commander 3-47 3.5.1 Cardiocom Commander Modular And Flexible Design 3-50 3.5.2 Cardiocom System 3-56 3.5.3 Cardiocom Vital Sign Telemonitoring for CHF, COPD, Asthma, Diabetes, Hypertension, and Obesity 3-58 3.5.4 Cardiocom® Multi-Disease Management 3-59 3.6 Philips HeartStart Telemedicine System 3-60 3.6.1 Philips Heart Start 3-61 3.6.2 Philips IntelliVue Application Server 3-64 3.6.3 Phiips Application Server Positioning 3-66 3.6.4 Philips Steady Scale 3-67 3.7 Computer Industry Telemedicine Products 3-69 3.8 GE Healthcare / Intel Telemedicine 3-70 3.8.1 Intel Health Sessions 3-74 3.8.2 Intel Video Calls 3-74 3.9 IBM Cognitive Computing 3-75 3.9.1 IBM Smarter Analytics 3-79 3.9.2 IBM Watson for TeleHelathcare 3-87 3.10 Google 3-88 3.11 MERCURYTM Web Telemedicine 3-88 3.12 Telemedicine Video Conferencing 3-90 3.13 ZTE Telemedicine 3-91 3.14 Logitech Lifesize 3-92 3.15 Vidyo Telemedicine Healthcare 3-93 3.15.1 Vidyo for Healthcare Applications: 3-94 3.15.2 Vidyo API 3-95 3.16 Philips Telemedicine 3-97 3.17 Global Med Telehealth: Benefits of Video Conferencing 3-98 3.17.1 GlobalMed Tele-Health Carts 3-98 3.17.2 GlalMed Telemedicine Products | Telehealth Equipment | Medical Technology 3-98 3.17.3 GlobalMed Telemedicine Carts | Telehealth Carts 3-99 3.17.4 GlobalMed i8500™ Mobile Telemedicine Station 3-101 3.17.5 GlobalMed TES (Transportable Exam Station) 3-101 3.17.6 GlobalMed FirstExam™ Mobile Telemedicine Station 3-103 3.17.7 GlobalMed Teleaudiology Cart | Mobile Medical Carts 3-105 3.17.8 GlobalMed Medical Technology Products | Mobile Medical Carts 3-105 3.17.9 GlobalMed Mobile Telemedicine Carts 3-105 3.17.10 GlobalMed TotalExam™ HD Examination Camera 3-107 3.17.11 GlobalMed Diagnostic Imaging | Medical Imaging 3-108 3.17.12 GlobalMed Diagnostic Imaging | Medical Imaging Equipment 3-109 3.17.13 Global Med Health Care IT | Advanced Medical Technologies 3-110 3.18 Hospital and Insurance Company Telemedicine Services 3-110 3.18.1 Hospital Telemedicine Systems 3-111 3.19 WellPoint 3-112 3.19.1 WellPoint and IBM 3-112 3.20 Partners Healthcare Massachusetts General 3-113 3.21 Cleveland Clinic 3-114 3.21.1 Cleveland Clinic MyChart 3-115 3.22 Mayo Clinic 3-115 3.22.1 Mayo Clinic Telehealth 3-116 3.23 Kaiser 3-116 3.23.1 Kaiser 3-117 3.24 Aetna 3-118 3.25 Cigna / MDLIVE Team To Advance Digital Health 3-119 3.26 M-Health Apps 3-120 3.27 IBM Telemedicine Apps 3-122 3.28 Video Conferencing Health Apps - CMS 3-122 3.28.1 Internet Health Products 3-124 3.29 Polycom 3-125 3.29.1 Polycom RealPresence Cloud Collaboration Center 3-126 3.30 Cisco TelePresence System 3200 Series 3-129 3.30.1 Cisco 3-132 3.31 Vidyo 3-133 3.32 Intel 3-134 3.33 Sony 3-135 3.34 eICUs 3-135 3.35 Google 3-136 3.36 Microsoft/Skype 3-136 3.37 GreatCall 3-136 3.37.1 GreatCall Mobile 5Star Urgent Response Apps 3-137 3.37.2 GreatCall's MedCoach Apps 3-137 3.38 Logitech LifeSize® Telemedicine: Better Care To More Patients For Less Money 3-138 3.38.1 Lifesize Telepresence Intelligently Optimized for the Network 3-141 3.39 Carrier Service Provider Telemedicine Products 3-142 3.40 AT&T 3-143 3.40.1 AT&T Virtual Care 3-143 3.40.2 AT&T Telemedicine Cloud Medical Imaging 3-145 3.40.3 AT&T Imaging in the Cloud 3-146 3.40.4 AT&T Telemedicine Mobile Viewer 3-147 3.40.5 AT&T Medical Imaging and Information Management 3-149 3.41 Vodafone 3-150 3.41.1 Vodafone and BlackBerry Tele-Medicine Application In India 3-150 3.41.2 Vodafone Greece Telemedicine program: 3-151 3.41.3 Vodafone Greek Telemedicine Program Partners 3-152 3.42 Verizon 3-152 3.42.1 Telemedicine Grant from Verizon Brings UVA Medical Care to Rural Virginians 3-153 3.43 Alcatel-Lucent 3-155 3.44 American Well collaboration with Harvard Medical School's Joslin Diabetes Center 3-155 3.45 Cardiocom Telemedicine Nurse 3-157 3.45.1 Cardiocom's Clinical Services: 3-157 3.46 Telemedicine Industry Vendor Products 3-158 3.47 MedApps 3-159 3.48 Biotronik Cardiac Telemonitoring Devices 3-160 3.48.1 Biotronik Home Monitoring Lumax 540 Series State-Of-The-Art Features 3-161 3.49 Care Innovations 3-162 3.49.1 Care Innovations Patient Reports 3-163 3.49.2 Care Innovations™ Connect Can Help Seniors In Independent Living Facilities 3-168 3.50 Nursing Stations 3-169 3.51 Honeywell Web-Based LifeStream Management Suite 3-170 3.52 LG Telemonitoring Smartcare System 3-170 3.53 STMicroelectronics 3-171 3.54 Viterion® Telemedicinecare Network is: 3-171 3.54.1 Viterion Telemedicinecare Nursing Station 3-172 3.55 Cardiocom Integrated Systems 3-173 3.55.1 Cardiocom Tiered Platforms 3-174 3.56 Pulse Oximetry 3-175 3.57 Nonin Pulse Oximetry Sensor Accuracy 3-175 3.57.1 Nonin PureSAT® Pulse Oximetry Technology 3-175 3.57.2 Nonin True Pulse Detection 3-176 3.57.3 Nonin Low Signal Filter 3-176 3.57.4 Nonin Smart Averaging 3-176 3.58 Portable Heart Monitoring Devices 3-176 3.59 Kiwok mHealth 3-177 3.59.1 Kiwok Equipment For Long-Term ECG 3-177 3.60 Thermograph 3-178 3.61 JSC CEM TEC Telemedicine 3-180 3.62 Aliph 3-180 3.63 Home Medical Stations 3-181 3.64 A&D Medical 3-181 3.64.1 A&D Medical Scale 3-181 3.64.2 A&D Medical Activity Monitor 3-182 3.64.3 A&D Medical DataSend Personal Blood Pressure Monitor 3-184 3.65 Authentidate Holding 3-186 3.65.1 Authentidate Holding ExpressMD™ Solutions 3-186 3.66 Telemedicine Services 3-187 3.67 Bosch Telemedicine Services 3-187 3.67.1 Bosch / VRI 3-188 3.67.2 VRI Extends The Reach Of Bosch Healthcare Telemedicine Solutions 3-188 3.68 Consult A Doctor 3-190 3.69 Honeywell Web-based LifeStream Management Suite 3-190 3.70 Philips® Telemonitoring Services 3-190 3.71 TouchPointCare 3-191 3.71.1 TouchPointCare Telemedicine Program 3-193 3.71.2 TouchPointCare Telemedicine Positioning 3-194 3.71.3 TouchPointCare Application 3-195 3.71.4 TouchPointCare Monitoring Functions 3-195 3.71.5 TouchPointCare Flexibility 3-200 3.71.6 TouchPointCare Disease Management Programs 3-202 3.71.7 TouchPointCare Opinion Surveys – Patients, Physicians, And Employees 3-203 3.72 Systems Hospitals Are Purchasing For Remote Patient Monitoring 3-206 3.72.1 Hospital Telemedicine Solutions As A Collaborative Care Model 3-206 3.73 Telemedicine Sensors 3-207 3.73.1 Telemedicine Sensor Market Participants 3-207
4. Tele-Monitor Technology 4-1
4.1 Patient-Centered /-Participatory Congestive Heart Failure Telemonitoring4- 4-1 4.1.1 Heart Failure Congress 2011 4-5 4.1.2 TIM-HF Study CHF 4-6 4.1.3 TheTEHAF study 4-8 4.1.4 Johns Hopkins Home-Based Telemonitoring 4-10 4.2 Diabetes Remote Monitoring 4-12 4.2.1 Diabetes Remote Monitoring Drivers 4-12 4.2.2 Partners HealthCare Diabetes Remote Monitoring Program Overview 4-13 4.2.3 Partners HealthCare Diabetes Monitoring Member 4-14 4.3 Partners Healthcare Blood Pressure Home Monitoring Health Initiative 4-18 4.3.1 Partners Healthcare Blood Pressure Connect 4-18 4.4 Medtronic 4-20 4.5 Health Monitoring 4-24 4.5.1 Patient-Centered Home Tele Health Monitoring 4-25 4.6 Chronic Heart Failure Clinical Studies 4-28 4.7 Texas Pilot Program 4-32 4.7.1 Obstructive Sleep Apnea (OSA) A Major Chronic Condition 4-33 4.7.2 Hypertension Intervention Nurse Telemedicine (HINTS) Study 4-33 4.8 Ingestible Event Marker 4-34 4.8.1 Home healthcare Technologies 4-35 4.8.2 Telemonitoring Research Studies 4-35 4.9 Continua 4-37 4.9.1 Continua Health Alliance Provides Integration Technology 4-40 4.9.2 Continua Health Alliance 4-42 4.10 Telehealth Value Categories 4-46 4.11 Telemedicine Accessibility 4-47 4.12 Communities and Collaboration 4-48 4.13 Telemedicine Value Chain Sustainability 4-49 4.14 Telemedicine Sustaining Finance Model 4-50 4.14.1 NHS 4-51 4.15 Real-Time Remote Medical Diagnosis System (RTRMDS) 4-52 4.15.1 Tele-pharmacy 4-53 4.15.2 Electronic Medical Records Detail Drug Information Effectiveness 4-53 4.15.3 Consumers Increasingly Involved In Treatment Decision-Making 4-54 4.16 Health Care Monitoring Solutions Technology 4-54 4.16.1 Health Information Exchange Services 4-55 4.17 Home-Based Care 4-57 4.18 'Mobile Health Clinics' 4-59 4.18.1 Self-Service Kiosks 4-59 4.18.2 Mobile Health Care 4-59 4.18.3 Mobile Office a Set Of Commonly Used Mobile Communication Tools 4-61 4.18.4 Telemedicine Allows Medical Professionals To Consult And Diagnose Patients Remotely 4-63 4.19 DICOM Index Tracker NDS Surgical Imaging, LLC 4-66 4.20 Population Of The Developed World Is Growing Older, Medical Costs Are Rising, Not Enough Doctors To Heal The Elderly Sick 4-67 4.20.1 Remote Monitoring Device 4-67 4.21 US Government Tele-Health Subcommittees 4-68 4.21.1 Telehealth Product Medical Device Regulation In The United States 4-69
5. Telemedicine / M-Health Company Profiles 5-1
5.1 A&D Engineering / A&D Medical 5-1 5.1.1 A&D Medical Wellness Connected 5-3 5.1.2 A&D Wellness Connected Online Service 5-6 5.2 Aerotel Medical Systems 5-6 5.3 Aliph 5-7 5.4 American Heart Association (AHA) 5-7 5.4.1 American Hospital Association Awards the University of Rochester Medical Center's Pediatric Telemedicine Program Health-e-Access Recognition 5-8 5.5 American TeleCare 5-9 5.6 American Telemedicine Association 5-10 5.7 Apple 5-12 5.1.1 Apple Revenue 5-12 5.7.1 Apple Business Strategy 5-14 5.7.2 Apple Products 5-15 5.7.3 Apple iPhone 5-15 5.7.4 Apple iPad 5-16 5.7.5 Apple Mac Hardware Products 5-16 5.7.6 Apple iPod 5-17 5.7.7 Apple iTunes® 5-17 5.7.8 Apple Mac App Store 5-18 5.7.9 Apple iCloud 5-18 5.7.10 Apple Software Products and Computer Technologies 5-19 5.7.11 Apple Operating System Software iOS 5-19 5.7.12 Apple Mac OS X 5-19 5.7.13 Apple TV 5-20 5.7.14 Apple Net Sales 5-20 5.8 AT&T 5-21 5.8.1 AT&T Revenue 5-22 5.8.2 AT&T Wireless 5-24 5.8.3 AT&T Services and Products 5-25 5.8.4 AT&T Voice Service – 5-25 5.8.5 AT&T Innovative Data Services 5-26 5.8.6 AT&T Business Customers 5-27 5.8.7 AT&T Data/Broadband 5-27 5.8.8 AT&T Business Secure Mobile Threats 5-28 5.8.9 AT&T Mobile Security 5-29 5.9 Athens Regional Home Health In-Home Telemonitoring Services 5-30 5.10 Authentidate Holding 5-31 5.10.1 Authentidate Holding ExpressMD™ Solutions Joint Venture 5-33 5.10.2 Authentidate Regional Service Offerings 5-34 5.10.3 Authentidate Holding Revenues 5-35 5.10.4 Authentidate Holding Remote Patient Monitoring Solutions 5-38 5.10.5 Authentidate Holding VA Plan 5-38 5.10.6 Authentidate Holding Revenue 5-39 5.10.7 Authentidate Holding / EncounterCare Solutions Joint Venture 5-40 5.11 Axon 5-41 5.12 Biotronik 5-42 5.12.1 Biotronik Electrotherapy 5-42 5.12.2 Biotronik Vascular Intervention 5-43 5.12.3 Biotronik CHF Study 5-44 5.13 Bosch Group 5-45 5.1.2 Bosch Business Overview 5-45 5.13.1 Bosch Consumer Goods sales 5-48 5.13.2 Bosch Automotive Technology sales 5-49 5.13.3 Bosch Industrial Technology sales 5-49 5.13.4 Bosch Group 5-50 5.13.5 Bosch Healthcare Supports Independent Living At Home 5-50 5.13.6 Bosch Security Systems Division 5-51 5.13.7 Robert Bosch Healthcare 5-52 5.13.8 Robert Bosch Remote Patient Monitoring 5-53 5.13.9 Bosch Healthcare Telehealth Systems 5-53 5.13.10 Bosch Healthcare Health Buddy System 5-55 5.13.11 Bosch Addresses Role of Compliance in Telehealth Adoption 5-55 5.13.12 Bosch North America Veterans Health Administration 5-56 5.13.13 Bosch / VRI 5-59 5.13.14 Bosch Healthcare and GreatCall Partnership 5-60 5.13.15 Bosch Healthcare - Telehealth And Care Solutions Join To Become The Leading Provider Of Health, Safety, And Communication 5-60 5.13.16 Bosch Group and Health Hero Network 5-61 5.14 Cardiocom 5-62 5.15 Care Innovations: Intel and GE 5-64 5.2 Cisco 5-67 5.2.1 Cisco Information Technology 5-68 5.2.2 Cisco Virtualization 5-69 5.2.3 Competitive Landscape In The Enterprise Data Center 5-70 5.2.4 Cisco Architectural Approach 5-71 5.2.5 Cisco Switching 5-71 5.2.6 Cisco NGN Routing 5-73 5.2.7 Cisco Collaboration 5-75 5.2.8 Cisco Service Provider Video 5-75 5.2.9 Cisco Wireless 5-76 5.2.10 Cisco Security 5-76 5.2.11 Cisco Data Center Products 5-76 5.2.12 Cisco Other Products 5-77 5.2.13 Cisco Systems Net Sales 5-77 5.2.14 Cisco Systems Revenue by Segment 5-80 5.2.1 Cisco Telepresence Systems Segment Net Sales 5-81 5.2.2 Cisco Tops 10,000 Unified Computing System Customers 5-84 5.16 Columbia University's Informatics for Diabetes Education and Telemedicine 5-85 5.17 Connections365 5-85 5.18 Continua 5-86 5.19 Debiotech 5-88 5.20 Evident Health Services 5-89 5.20.1 Evident Health Services (EHS) 5-91 5.21 FuzeBox 5-92 5.22 Gemalto / Cinterion 5-94 5.22.1 Cinterion 5-94 5.22.2 Gemalto / Cinterion 5-95 5.22.3 Gemalto / CINTERION Active Member Of The Continua Alliance 5-99 5.22.4 Gemalto / Cinterion Mobile Health - M2M Telemonitoring 5-100 5.3 Google 5-101 5.3.1 Google Business 5-101 5.3.2 Google 2012 Corporate Highlights 5-102 5.23 GreatCall Healthcare Systems 5-103 5.24 Home Healthcare Hospice and Community Services (HCS) 5-104 5.24.1 Home Healthcare Partners (HHP) 5-105 5.25 Honeywell 5-106 5.25.1 Honeywell HomMed: 5-107 5.25.2 Honeywell Genesis Telehealth Monitors and LifeStream™ Management Suite 5-108 5.25.3 Honeywell HomeMed Health Monitoring System 5-111 5.25.4 Honeywell HomeMed Health Monitoring System: Health Visiting Nurses Association (VNA) 5-111 5.25.5 Honeywell Reports Second Quarter 2011 Sales Up 15% to $9.1 Billion 5-112 5.26 IBM 5-113 5.26.3 IBM Strategy 5-113 5.26.4 IBM PureData System for Transactions 5-115 5.26.5 IBM Business Partners 5-115 5.26.6 IBM Messaging Extension for Web Application Pattern 5-116 5.26.7 IBM PureSystems Partners 5-117 5.26.8 IBM MobileFirst 5-117 5.26.9 IBM Business Analytics and Optimization Strategy 5-118 5.26.10 IBM Growth Market Initiatives 5-118 5.26.11 IBM Business Analytics and Optimization 5-118 5.26.12 IBM Strategy 5-119 5.26.13 IBM Smarter Planet 5-120 5.26.14 IBM Cloud Computing 5-122 5.26.15 IBM Business Model 5-122 5.26.16 IBM Business Revenue Segments And Capabilities 5-123 5.27 Infopia 5-131 5.27.1 Infopia of Korea 5-131 5.28 Johns Hopkins Launch Home Telemonitoring Education Initiative 5-133 5.29 JSC CEM Technology 5-133 5.30 Kiwok 5-136 5.31 LG 5-137 5.31.1 LG Telemonitoring Smartcare System 5-137 5.32 LifeMasters 5-138 5.33 Logitech 5-138 5.33.1 LifeSize Telepresence 5-140 5.33.2 Logitech Revenue Net Sales By Operating Segment 5-140 5.33.3 Logitech Sales of PC Peripherals In Mature Markets Expected to Decline 5-143 5.33.4 Logitech LifeSize 5-144 5.33.5 Logitech Digital Home Category 5-145 5.33.6 Logitech Sales of OEM Mice And Keyboards 5-145 5.33.7 Logitech Net Sales by Channel 5-145 5.33.8 Logitech Segment Revenue 5-146 5.33.9 Logitech LifeSize 5-147 5.33.10 Logitech LifeSize UVC Video Conferencing Infrastructure Platform 5-148 5.34 McKesson 5-150 5.34.1 McKesson Telehospice Technology 5-151 5.34.2 McKesson / Caris Healthcare 5-153 5.35 MedApps 5-154 5.35.1 MedApps Healthpal 5-154 5.35.2 VRI Selects MedApps HealthPAL MA105to Extend the Home 5-155 5.35.3 MedApps Comprehensive Health Information Management Platform 5-157 5.35.4 MedApps' Value Proposition 5-159 5.36 Medtronic 5-160 5.37 Microsoft 5-162 5.37.1 Microsoft Key Opportunities and Investments 5-163 5.37.2 Microsoft Smart Connected Devices 5-163 5.37.3 Microsoft: Cloud Computing Transforming The Data Center And Information Technology 5-163 5.37.4 Microsoft Entertainment 5-164 5.37.5 Microsoft Search 5-165 5.37.6 Microsoft Communications And Productivity 5-165 5.37.7 Microsoft Revenue 5-166 5.37.8 Microsoft Customers 5-167 5.37.9 Microsoft .NET Framework 5-167 5.37.10 Microsoft Revenue 5-168 5.37 Montefiore / CMO, the Care Management Company 5-169 5.37.1 CMO, The Care Management Company 5-170 5.38 National Committee for Quality Assurance 5-171 5.39 Nonin Medical, Inc. 5-171 5.39.1 Nonin Medical AB 5-172 5.40 Partners Healthcare 5-173 5.40.1 Partners HealthCare Focus Areas: 5-174 5.40.2 Partners Healthcare Digital Care Delivery 5-175 5.40.3 Partners Healthcare Patient Segmentation 5-175 5.40.4 Partners Healthcare Research and Evaluation Team 5-176 5.40.5 Partners Healthcare Sample Recent Telemonitoring Projects 5-178 5.40.6 Programs In Heart Failure, Hypertension, Diabetes And Other Chronic Conditions 5-178 5.40.7 Partners Healthcare Center for Connected Health 5-1805.41 Philips 5-181 5.41.1 Phiips Visicu 5-182 5.41.2 Philips Addresses Healthcare Landscape 5-183 5.41.3 Philips/Respironics Monitoring Solution Powered By Cinterion TC65i: 5-187 5.41.4 Philips Sales 5-188 5.41.5 Philips Healthcare 5-188 5.41.6 Royal Philips Revenue 5-191 5.41.7 Royal Philips Electronics / Respironics 5-197 5.41.8 Philips Respironics 5-199 5.41.9 Philips Respironics 5-202 5.42 Polycom Acquires HP Telepresence Business 5-205 5.42.1 Polycom Global Leader In Standards-Based Unified Communications 5-206 5.42.10 Polycom Cloud-Based UC Solutions 5-208 5.42.11 Polycom Buys Hewlett Packard Halo/HVEN Network 5-208 5.42.12 Polycom Partnerships 5-209 5.42.13 Polycom Mobile UC Solutions 5-209 5.42.14 Polycom Focused Ecosystem Partnerships 5-210 5.42.15 Polycom Microsoft Partnership and Open Collaboration Network Partners 5-210 5.42.16 Polycom RealPresence Platform 5-212 5.42.17 Polycom Targets Growth Markets 5-213 5.42.18 Polycom Products And Services 5-213 5.42.19 Polycom Network Infrastructure 5-213 5.42.20 Polycom UC Group Systems 5-214 5.42.21 Polycom UC Personal Devices 5-214 5.42.22 Polycom Network Infrastructure 5-214 5.42.23 Polycom RMX. 5-215 5.42.24 Polycom Centralized Management Application (CMA). 5-215 5.42.25 Polycom Distributed Management Application (DMA). 5-215 5.42.26 Polycom VBP 5-216 5.42.27 Polycom RealPresence Media Manager 5-216 5.42.28 Polycom UC Group Systems 5-216 5.42.29 Polycom Product Set 5-217 5.42.30 Polycom Range Of UC Group Devices 5-218 5.42.31 Polycom Conference Phones 5-218 5.42.32 Polycom UC Personal Devices 5-219 5.42.33 Polycom Personal Telepresence Solutions 5-219 5.42.34 Polycom SoundPoint Series Of Standards-Based SIP Desktop Devices 5-220 5.42.35 Polycom Wireless Products 5-220 5.42.36 Polycom / Microsoft Family Of Devices 5-221 5.42.37 Polycom Revenues 5-222 5.42.38 Polycom Geographic Revenue 5-222 5.42.39 Polycom Segment Revenue 5-223 5.42.40 Polycom Strategic Investments And Key Strategic Initiatives 5-225 5.42.41 Polycom Business Segment Information: 5-226 5.42.42 Polycom Unified Collaboration Solutions ROI 5-226 5.42.43 Polycom Unified Agile Collaboration 5-228 5.42.44 Polycom Cloud-Based UC Solutions 5-230 5.42.45 Polycom Buys Hewlett Packard Halo/HVEN Network 5-230 5.42.46 Polycom Partnerships 5-231 5.42.47 Polycom Mobile UC Solutions 5-231 5.42.48 Polycom Focused Ecosystem Partnerships 5-232 5.42.49 Polycom Microsoft Partnership and Open Collaboration Network Partners 5-232 5.42.50 Polycom RealPresence Platform 5-234 5.42.51 Polycom Targets Growth Markets 5-235 5.42.52 Polycom Products And Services 5-235 5.42.53 Polycom Network Infrastructure 5-235 5.42.54 Polycom UC Group Systems 5-236 5.42.55 Polycom UC Personal Devices 5-236 5.42.56 Polycom Network Infrastructure 5-236 5.42.57 Polycom RMX. 5-237 5.42.58 Polycom Centralized Management Application (CMA). 5-237 5.42.59 Polycom Distributed Management Application (DMA). 5-237 5.42.60 Polycom VBP 5-238 5.42.61 Polycom RealPresence Media Manager 5-238 5.42.62 Polycom UC Group Systems 5-238 5.42.63 Polycom Product Set 5-239 5.42.64 Polycom Range Of UC Group Devices 5-239 5.42.65 Polycom Conference Phones 5-240 5.42.66 Polycom UC Personal Devices 5-241 5.42.67 Polycom Personal Telepresence Solutions 5-241 5.42.68 Polycom SoundPoint Series Of Standards-Based SIP Desktop Devices 5-242 5.42.69 Polycom Wireless Products 5-242 5.42.70 Polycom / Microsoft Family Of Devices 5-243 5.42.71 P
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