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Nursing Home and Long-Term Care Information Systems Market Opportunities, Strategies, and Forecasts, 2006 to 2012

Wintergreen Research
May 1, 2006
335 Pages - SKU: WGR1270922

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The third quarter of 2005 continued a trend of positive developments in the healthcare information technology marketplace. A significant development was the publication of RAND’s peer-reviewed study that indicates healthcare information technology could save the country’s healthcare system $162 billion annually through improved efficiency, disease management and reduced adverse drug events. This study provides large-scale, independent, quantified proof of the impact healthcare information technology can have.

Homecare information systems are positioned to connect business: clinical activities, billing/financial, and management decisions. Table ES-1 illustrates homecare business integration.

TABLE ES-1
HOMECARE BUSINESS INTEGRATION

Clinical activities
Billing
Financial
Care management decisions

Source: WinterGreen Research, Inc.

Return On Investment (ROI)
Home care providers are able to achieve an increase of 37% in administrative productivity after the installation. Presenting technology infrastructure improvement solutions needs to be accompanied by building a business case for solutions. If the technology does not address a business problem then the outcome results in disappointment.

Vendors seek to increase market share in individual domains. They seek to penetrate the existing client base with more functionality. Continued growth is expected in clinical domain systems for specific markets such as nursing, physician office, laboratory, pharmacy, radiology, surgery, emergency medicine and cardiology. As institutions look to restructure and reengineer these high-cost centers, IT promises more efficient operations.

Homecare front end, backend, integration, and medical information system software is targeted to non-acute health care distributors. This market has been highly fragmented. Consolidation in the market is causing significant change in the industry.

Products are differentiated in the market based upon the granularity of the offerings and the ability to meet the specific needs of the homecare providers.

The homecare market is changing. New services needed in the home include intravenous (IV) therapy, pain control, and basic needs services delivery. Delivery of new services depends on systems integration. Delivery of these services depends as well on automation of the reimbursement process. The ability of the existing homecare dealer network to deliver advanced services in the home is limited in part by an inability to bill for those services. New systems fulfill that need.

U.S. homecare information are expected to reach $2.6 billion by 2010. U.S. homecare information systems markets are expected to grow at 17% per year in 2003, with the growth rate accelerating to 25% per year on average through 2010. Market forces for growth relate to the efficiency and efficacy of homecare services delivery.

Worldwide homecare information systems markets at $285.7 million in 2005 are expected to reach $1.2 billion by 2012.

Homecare information systems, SOA, services, wireless, records systems market segment forecasts indicate strong growth for the homecare automation markets. The use of an electronic record that creates bills is a basic process efficiency aspect. Markets at $1.8 billion are expected to reach $4.8 billion by 2012.

NURSING HOME AND LONG-TERM CARE INFORMATION SYSTEMS EXECUTIVE SUMMARY: Nursing Home and Long-Term Care Information Systems; Return On Investment (ROI); Nursing Home and Long-Term Care Information Systems Market Shares; Nursing Home and Long-Term Care Information Systems Market Forecasts
1. NURSING HOME AND LONG-TERM CARE FACILITY INFORMATION SYSTEMS MARKET DESCRIPTION AND MARKET DYNAMICS: 1.1 Nursing Home Or Skilled Nursing Facility; 1.2 Private Versus Public Nursing Homes; 1.3 Information Technology Solutions; 1.4 Nursing Home and Long-Term Care Facility Information System Software Market Shifts; 1.5 Need For Automation Of Nursing Home Companies; 1.6 Nursing Home Information Technology Industry; 1.7 Market Drivers For Healthcare Cost Containment; 1.8 Reasons Home Health Care Has Gained Wide-Spread Acceptance; 1.9 Worldwide Nursing Home Information Systems Market Distribution; 1.10 Increased Need For Information Technology; 1.11 Shortcomings Of Traditional Healthcare Information Systems; 1.12 Nursing Home Information Systems Market Strategy; 1.13 Nursing Home Information Systems Market Trends; 1.14 Nursing Home Ownership; 1.15 Nursing Home Care Options; 1.16 Nursing Home Issues Relating To Implementing An EAI Solution; 1.17 Coordinating Nursing Home Activities Via EAI
2. NURSING HOME AND LONG-TERM CARE INFORMATION SYSTEMS MARKET SHARES AND MARKET FORECASTS: 2.1 Opportunity for Growth Exists in Nursing Home Healthcare Information Technology; 2.2 Nursing Home Information Systems Market Shares; 2.3 Nursing Home Information System Segment and Facility Analysis; 2.4 Nursing Home and Long-Term Care Information Systems Market Forecasts
3. NURSING HOME AND LONG-TERM CARE INFORMATION SYSTEM PRODUCT DESCRIPTION: 3.1 Cerner; 3.2 MDI Technologies; 3.3 Misys Nursing Home Healthcare Systems; 3.4 Eclipsys; 3.5 GE Healthcare Nursing Home Systems; 3.6 Meditech Nursing Home and Long-Term Care Information System; 3.7 IDX Carecast; 3.8 Siemens Clinical Manager; 3.9 McKesson Enterprise Project Management
4. NURSING HOME INFORMATION SYSTEMS TECHNOLOGY: 4.1 Nursing Home Information Systems Requirements; 4.2 Nursing Home Information Systems Toolkits; 4.3 Nursing Home Information Systems -Services; 4.4 Internet; 4.5 Nursing Home Information Systems Product Technology; 4.6 State-Of-The-Art Security; 4.7 Cerner Technologies Reusable Programming Elements; 4.8 Testing Services As An Extension Of Nursing Home; 4.9 Web Services; 4.10 Web Services Architecture; 4.11 Distributed Service Discovery Methods; 4.12 OASIS; 4.13 SOAP; 4.14 WSDL; 4.15 UDDI Registry; 4.16 Language XSLT; 4.17 Middleware Definition; 4.18 Sun / SeeBeyond Single Patient View; 4.19 Health Insurance Portability and Accountability Act (HIPAA)
5. NURSING HOME AND LONG-TERM CARE INFORMATION SYSTEMS COMPANY PROFILES: 5.1 Accumedic Computer Systems; 5.2 American Health Care Software Enterprises; 5.3 CareFacts; 5.4 Cerner (NASDAQ: CERN); 5.5 Eclipsys; 5.6 Fujitsu; 5.7 GE Por
Table Homecare Medical Information Systems: 5.8 Golden Rule Software; 5.9 Green Mountain Software; 5.10 Hann's On Software; 5.11 McKesson; 5.12 MDI; 5.13 Meditech; 5.14 Misys Healthcare Systems; 5.15 Patient Care Technologies; 5.16 Procura; 5.17 Siemens; 5.18 ViTel Net
List of Tables and Figures
Table ES-1: Nursing Home Healthcare Information Technology Market Driving Forces
Figure ES-2: Worldwide Nursing Home and Long-Term Care Market Shares, Shipments, Dollars, 2005
Figure ES-3: Worldwide Nursing Home and Long-Term Care Information System Market Forecasts, Dollars, 2006-2012
Table 1-1: Nursing Home Information System Software Characteristics
Table 1-2: Market Characteristics For Evaluation of Nursing Home Information System Software Vendors
Table 1-3: Nursing Home Services Billing Issues
Table 1-4: JCAHO ORYX Requirements
Table 1-5: Nursing Home Standard Services Provided
Table 1-6: Nursing Home Specialty Services Provided
Table 1-7: Home Market Information System Software Market Segment
Table 1-8: Factors Relating To Value Of Home Health Care Over Institutional Care
Table 1-9: Worldwide Nursing Home Information Systems Market Positioning
Table 1-10: Strategies For Offering Technology Solutions To The Home Healthcare Industry
Table 1-11: Nursing home Information Systems Market Trends
Table 1-12: Nursing Home Care Delivery Approach
Table 2-1: Nursing Home Healthcare Information Technology Market Driving Forces
Figure 2-2: Worldwide Nursing Home and Long-Term Care Market Shares, Shipments, Dollars, 2005
Table 2-3: Worldwide Nursing Homecare Information Systems Market Shares, Shipments, Dollars, 2005
Figure 2-4: Worldwide Nursing Home Information Systems Market Segments, Dollars, 2005
Table 2-5: Worldwide Nursing Homecare Information Systems Segment Analysis, Shipments, Dollars, 2005
Table 2-6: Nursing Facility Analysis 2005
Figure 2-7: Worldwide Nursing Home and Long-Term Care Information System Market Forecasts, Dollars, 2006-2012
Table 2-8: Worldwide Nursing Home and Long-Term Care Facility Segment Analysis Market Forecasts, Shipments, Dollars, 2006-2012
Table 2-9: Worldwide Nursing Home and Long-Term Care Information System Installed Base and Penetration Analysis Market Forecasts, Shipments, Dollars, 2006-2012
Figure 2-10: Medicare Nursing Home Analysis by State, by Bed Size
Table 3-1: Cerner Staff Scheduling Solution
Table 3-2: Misys Nursing Home CPOE
Table 3-3: Eclipsys Sunrise Patient Acuity Management As A By-Product Of Documentation
Table 3-4: Eclipsys Sunrise Patient Acuity Management Benefit
Table 3-5: Eclipsys Sunrise Nursing Home Module Key Features
Table 3-6: Eclipsys Sunrise Nursing Home Module Key Benefits
Table 3-7: Relevant Eclipsys Solutions:
Table 3-8: Sunrise Concurrent Care Manager Key Benefits
Table 3-9: GE Healthcare Nursing Home Systems Functions
Table 3-10: Meditech Software Modules
Table 3-11: Meditech Reporting and Decision Support
Table 3-12: Meditech Enterprise Medical Record Continuum Of Care Facility Types
Table 3-13: Meditech Enterprise Medical Record Accessibility Features
Table 3-14: Meditech Enterprise Medical Record Accessibility Features
Table 3-15: Meditech Historical Patient Data Sources
Table 3-16: Meditech Outpatient Information Sources
Table 3-17: Meditech Administrative Data Sources
Table 3-18: Meditech EMR Graphical Display Of Data
Table 3-19: Meditech Electronic Medical Record Patient Care Functions
Table 3-20: Meditech Electronic Medical Record Patient Information Categories
Table 3-21: Meditech Patient-Oriented Profile Capabilities
Table 3-22: Meditech Patient / Physician Alert Capabilities
Table 3-23: Meditech Electronic Patient Record Tool Functions
Table 3-24: Meditech Electronic Patient Record Graphical Tool Capabilities
Table 3-25: Value Of Enterprise Medical Record Electronic Links To Meditech Enterprise Medical Record
Table 3-26: Meditech Patient Care Management PCS Functions
Table 3-27: Meditech Patient Care Management Clinical Content
Table 3-28: Meditech Documentation of Patient Information
Table 3-29: Meditech Medication Administration Record (MAR)
Table 3-30: Meditech Reporting and Printing Capabilities
Table 3-31: Meditech Reporting and Printing Benefits
Table 3-32: Meditech Nursing Application Functions
Table 3-33: Meditech Nursing Application Features
Table 3-34: Meditech Nursing Application Management of Care Plans Features
Table 3-35: Meditech Nursing Application Management of Care Plans Features
Table 3-36: Meditech Nursing Application Automated Assessments Features
Table 3-37: Meditech Nursing Application Point-of-Care Documentation Features
Table 3-38: Meditech Nursing Application Acuity System Features
Table 3-39: Meditech Nursing Managing Interventions System Features
Table 3-40: Meditech Nursing Scheduling Capabilities System Features
Table 3-41: Meditech Nursing Other System Features
Table 3-42: Meditech EMR Enterprise Medical Record Functions
Table 4-1: Nursing Home Information Systems Requirements
Table 4-2: Nursing Home Information Systems Functions
Table 4-3: Assessment Of Nursing Home Information Systems Services Tool Positioning
Table 4-4: Functions Of An IP Addressing Device
Table 4-5: Benefits Of an IP Addressing Device
Table 4-6: Nursing Home Information Systems Modular Strategy
Table 4-7: Nursing Home Information Systems Component Strategy
Table 4-8: Nursing Home Information Systems Services Challenge
Table 4-9: Internet Market Driving Forces
Table 4-10: Internet Nursing home Information Systems Resource Management
Table 4-11: Nursing Home Information Systems Services Security Policies Evolution
Table 4-12: Server Authentication Mechanisms
Table 4-13: Enterprise Messaging Integration Functions
Table 4-14: Software Application Integration Functions
Table 4-15: Web Services Common Set Of Standard Protocols
Table 4-16: Web Services Architecture
Table 4-17: SOAP-Based Web Service Production Environment Testing
Table 4-18: XSLT Transformation Of XML
Table 4-19: Key Missions Of EAI
Table 4-20: EAI Architecture Available From Multiple Vendors
Table 4-21: Integration Of Information Resources Benefits
Table 4-22: WebSphere Business Integration For Healthcare Collaborative Network Functions
Table 4-23: Single Patient View Advantages
Table 4-24: Sun SeeBeyond Return on Investment Metrics
Table 4-25: Sun Middleware Single Patient View Advantages
Table 4-26: The IBM HIPAA solution positioning
Table 4-27: IBM HIPAA solution technology
Table 4-28: IBM HIPAA Integration Technology Solution Process
Table 4-29: HIPAA Technology Achieves Financial Advantage
Table 5-1: Accumedic Medical Practice Management Software
Table 5-2: Cerner Healthcare Electronic Patient Record Benefits
Table 5-3: Selected Cerner Healthcare Electronic Patient Record Customers
Table 5-4: Key Elements Of Cerner Business Strategy
Table 5-5: Cerner Domain Specific Systems Functionality In Clinical Markets
Table 5-6: Fujitsu Metrics
Table 5-7: Fujitsu General Economic And Market Conditions Encountered
Table 5-8: GE Por
Table Homecare Medical Information Systems
Table 5-9: IDX Systems Customer Base
Table 5-10: IDX Strategy
Table 5-11: Golden Rule Software Home Healthcare Handheld Technology
Table 5-12: Meditech Client / Server Benefits
Table 5-13: Meditech System Monitoring Tool: Alert Components Managed
Table 5-14: Meditech Description
Table 5-15: Misys Homecare Customers

Nursing Home and Long-Term Care Information Systems Market Opportunities, Strategies, and Forecasts, 2006 to 2012

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