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

Published by: Wintergreen Research

Published: May. 1, 2006 - 335 Pages

Table of Contents

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

1.1.1 Trends

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

1.4.1 Characteristics Particular To The Nursing Home Information System Market

1.4.2 Implementation Depends On Documentation Of Each Discipline Needs

1.4.3 Nursing Home Services Billing Issues

1.4.4 Prospective Payment System (PPS)

1.4.5 Managed Care Requirements

1.4.6 Oasis Home Health Agencies

1.5 Need For Automation Of Nursing Home Companies

1.6 Nursing Home Information Technology Industry

1.6.1 History Of Low Investment In Healthcare Information Technology

1.6.2 Market Driving Forces For Worldwide Nursing Home Information Systems

1.6.3 Treatment Trends

1.6.4 Home Healthcare Delivery Industry

1.6.5 Competition Forms Basis Of U.S. Medical Care Services Delivery

1.6.6 Science And Medical Technology

1.7 Market Drivers For Healthcare Cost Containment

1.7.1 Managed Care Organization Impact

1.8 Reasons Home Health Care Has Gained Wide-Spread Acceptance

1.8.1 Managed Care Change In The Healthcare Industry

1.8.2 Nursing Home For People With Long Term Disabilities

1.9 Worldwide Nursing Home Information Systems Market Distribution

1.9.1 Delivery Of Non-Acute Health Care

1.9.2 Leveraging Distribution Channels

1.9.3 Worldwide Nursing Home Information Systems Market Positioning

1.10 Increased Need For Information Technology

1.10.1 Medical Error

1.11 Shortcomings Of Traditional Healthcare Information Systems

1.12 Nursing Home Information Systems Market Strategy

1.12.1 Integrated Healthcare Information Technology Solutions

1.12.2 Flexible Product-Delivery Options

1.12.3 Leveraging Existing Customer Base

1.13 Nursing Home Information Systems Market Trends

1.13.1 Clinician Support For Spending Less Time At The Desktop And More Time Taking Care Of Patients

1.14 Nursing Home Ownership

1.15 Nursing Home Care Options

1.15.1 Nursing Home Care Delivery Approach

1.16 Nursing Home Issues Relating To Implementing An EAI Solution

1.17 Coordinating Nursing Home Activities Via EAI

1.17.1 Infrastructure Value

1.17.2 Value Of Integration

1.17.3 Reducing Costly Errors

1.17.4 Maximizing Operational Efficiency

1.17.5 Faster Time to Market

1.17.6 Improved Employee Productivity

1.17.7 Connecting Enterprise Applications

1.17.8 Linking Internal Operations

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

2.1.1 Nursing Facility Services Funded By Medicare And Medicaid

2.2 Nursing Home Information Systems Market Shares

2.2.1 McKesson Horizon Nursing Home Care

2.2.2 Cerner

2.2.3 Meditech Nursing Home and Long-Term Care Information System

2.2.4 Meditech Multi-Facility Health Care Positioning

2.2.5 Siemens

2.3 Nursing Home Information System Segment and Facility Analysis

2.3.1 Nursing Home Facility Analysis

2.4 Nursing Home and Long-Term Care Information Systems Market Forecasts

2.4.1 Health Behaviors and Risk Factors

3. NURSING HOME AND LONG-TERM CARE INFORMATION SYSTEM PRODUCT DESCRIPTION

3.1 Cerner

3.1.1 Cerner Long-term and Nursing Home Healthcare Information Technology Market

3.1.2 Cerner Nursing Scheduling Modules

3.1.3 Cerner Staff Scheduling Solution

3.1.4 Cerner Long-Term and Nursing Home Healthcare Information Technology Online Documentation

3.1.5 Cerner Long-Term and Nursing Home Healthcare Information Technology Healthcare System Is Undergoing Fundamental Change

3.1.6 Cerner Long-Term and Nursing Home Healthcare Information Technology Structure the Knowledge

3.1.7 Cerner Solutions Store Healthcare Data And Provide A Framework For Comparability

3.1.8 Cerner Nursing Home And Long-Term Care Solutions Strategy

3.1.9 Cerner Computerized Physician Order Entry (CPOE)

3.1.10 Cerner PowerPOC

3.2 MDI Technologies

3.2.1 MDI

3.2.2 MDI Technologies On -Line Advantage Family

3.2.3 MDIConnect Internet Solution

3.2.4 MDIConnect Increased Efficiency of Data Management

3.2.5 MDIConnect HIPAA Compliant Security

3.2.6 MDIConnect State-of-the-Art Commitment

3.3 Misys Nursing Home Healthcare Systems

3.3.1 Misys Nursing Home CPOE

3.3.2 Misys Electronic Medical Records EMR

3.4 Eclipsys

3.4.1 Eclipsys Computerized Physician Order Entry (CPOE)

3.4.2 Eclipsys Performance at the Point of Care

3.4.3 Eclipsys Order Entry System in Healthcare

3.4.4 Eclipsys Clinical Decision Support

3.4.5 Eclipsys Sunrise Consistent, Yet Flexible, Documentation

3.4.6 Eclipsys Sunrise Patient Acuity as a By -Product of Documentation

3.4.7 Eclipsys Sunrise Integrated Data Meaningful Reports

3.4.8 Eclipsys Sunrise Streamlined Workflows

3.5 GE Healthcare Nursing Home Systems

3.5.1 GE Healthcare Information System Nursing Home Implementation Process

3.5.2 GE RecordsTFC™ System

3.6 Meditech Nursing Home and Long-Term Care Information System

3.6.1 Meditech Multi-Facility Health Care Positioning

3.6.2 Meditech Software Modules

3.6.3 Meditech Enterprise Medical Record

3.6.4 Meditech Current Care/Clinical Information

3.6.5 Meditech Historical Patient Data

3.6.6 Meditech Outpatient Information

3.6.7 Meditech Photographic Patient Identification

3.6.8 Meditech On -Line Ordering and Electronic Signature

3.6.9 Meditech Confidential Records of Care

3.6.10 Meditech Electronic Medical Record Patient Care

3.6.11 Meditech Patient-Oriented Profiles

3.6.12 Meditech Enterprise Medical Record Patient Care System

3.6.13 Meditech Patient Care Management

3.6.14 Meditech Patient Care Management Clinical Content

3.6.15 Meditech Documentation of Patient Information

3.6.16 Meditech Reporting and Printing Capabilities

3.6.17 Meditech Nursing Application

3.6.18 Meditech Enterprise Medical Record (EMR)

3.6.19 Meditech Graphic al Display of Data

3.6.20 Meditech On -Line Ordering and Electronic Signature

3.6.21 Meditech Patient Care Inquiry (PCI)

3.7 IDX Carecast

3.7.1 IDX® Carecast™

3.8 Siemens Clinical Manager

3.8.1 Siemens PDAccess™ Clinical Assistant

3.8.2 Siemens Electronic Health Record

3.8.3 Siemens Med Administration Check™

3.8.4 Siemens Med Administration Check Streamlines Process

3.8.5 Siemens Medical Medication Management Pharmacy Solutions

3.8.6 Siemens Med Adminis tration Check™

3.9 McKesson Enterprise Project Management

3.9.1 McKesson HorizonWP Physician Portal

3.9.2 McKesson Horizon Nursing Home Care

4. NURSING HOME INFORMATION SYSTEMS TECHNOLOGY

4.1 Nursing Home Information Systems Requirements

4.1.1 Internet Protocol (IP) Mission Critical Functionality

4.2 Nursing Home Information Systems Toolkits

4.2.1 Process Management Toolkits

4.3 Nursing Home Information Systems -Services

4.4 Internet

4.4.1 Upgrading Software

4.4.2 End-To-End Flow From The Security Viewpoint

4.4.3 Nursing Home Information Systems Services Security Policy Configuration

4.4.4 Role Of Mission Critical Middleware Messaging

4.4.5 IBM Mission-Critical Functionality

4.4.6 IBM WebSphere MQ Messaging Software

4.4.7 Linking Internal Operations

4.5 Nursing Home Information Systems Product Technology

4.5.1 Windows Interface

4.5.2 SQL Server

4.5.3 Misys Caché

4.5.4 Server Monitor

4.5.5 Field Synchronization

4.6 State-Of-The-Art Security

4.6.1 Misys Portal and Document Manager Module

4.7 Cerner Technologies Reusable Programming Elements

4.8 Testing Services As An Extension Of Nursing Home

4.8.1 HL7 Interface & Accounting Exports

4.9 Web Services

4.9.1 Services Guarantee Compliance

4.9.2 Outcomes Monitoring

4.9.3 Web Services Key Standards

4.9.4 Web Services Definition

4.10 Web Services Architecture

4.11 Distributed Service Discovery Methods

4.11.1 Web Services Positioning

4.12 OASIS

4.13 SOAP

4.13.1 SOAP Framework

4.13.2 Framework For Developing Web Services

4.13.3 Apache SOAP

4.13.4 Load Balancer With SSL Support

4.13.5 Points Of Failure

4.13.6 SOAP Limitations

4.13.7 SOAP Protocol Uses Multi-Step Process

4.13.8 Framework Benefits

4.13.9 SOAP Test Strategies

4.13.10 SOAP Solutions

4.14 WSDL

4.14.1 WSDL Service Descriptions

4.15 UDDI Registry

4.15.1 UDDI Test Registries

4.15.2 UDDI Distributed Web Service Discovery

4.15.3 UDDI Consortium

4.15.4 WS-Inspection Document Extensibility

4.16 Language XSLT

4.17 Middleware Definition

4.17.1 Key Missions Of EAI Integration Middleware

4.17.2 Continued Demand For Business Integration Software

4.17.3 WebSphere Business Integration for Healthcare Collaborative Network

4.18 Sun / SeeBeyond Single Patient View

4.19 Health Insurance Portability and Accountability Act (HIPAA)

4.19.1 HIPAA Solution For Healthcare Organizations From IBM

4.19.2 HIPAA Financial Advantage

5. NURSING HOME AND LONG-TERM CARE INFORMATION SYSTEMS COMPANY PROFILES

5.1 Accumedic Computer Systems

5.1.1 Accumedic Medical Practice Management Software Solutions

5.2 American Health Care Software Enterprises

5.3 CareFacts

5.4 Cerner (NASDAQ: CERN)

5.4.1 Cerner Corporation: Taking the Paper out of Healthcare

5.4.2 Cerner / BeyondNow Technologies

5.4.3 Cerner Strategy

5.4.4 Cerner Expanding Presence In Home Healthcare Market

5.4.5 Cerner Revenue

5.5 Eclipsys

5.6 Fujitsu

5.6.1 Fujitsu Homecare Information Systems

5.6.2 Fujitsu Network Communications

5.6.3 Fujitsu Considers WiMAX vs. 3G vs. Wi-Fi

5.6.4 Fujitsu FLASHWAVE® 7500 Small System

5.6.5 Fujitsu FASST Transition Solutions

5.6.6 Fujitsu Microelectronics America

5.6.7 Fujitsu Network Communications Inc.

5.6.8 Fujitsu Revenue

5.6.9 Fujitsu Business Segment Results

5.7 GE Por

Table Homecare Medical Information Systems

5.7.1 GE Healthcare Acquisition of IDX Systems

5.7.2 GE Healthcare

5.7.3 GE / IDX Systems

5.7.4 IDX Web Strategy

5.7.5 IDX Information Systems

5.7.6 IDX Strategy

5.7.7 IDX Web Strategy

5.7.8 IDX Systems Revenue

5.8 Golden Rule Software

5.9 Green Mountain Software

5.10 Hann's On Software

5.11 McKesson

5.11.1 McKesson Information And Care Management Products

5.12 MDI

5.12.1 MDI On-Line Advantage Full Integration

5.13 Meditech

5.13.1 Meditech Client / Server Platform

5.13.2 Meditech Client / Server Benefits

5.13.3 Meditech's Desktop Access to the Internet

5.13.4 Meditech Increased Processing Power

5.13.5 Meditech Internet Access Feature

5.13.6 Meditech System Monitoring Tool: Alert

5.13.7 Medical Information Technology Revenue

5.13.8 Meditech Integrated Software Solutions

5.14 Misys Healthcare Systems

5.14.1 Misys plc (FTSE: MSY)

5.14.2 Misys Healthcare Systems’ Home Health Solution Benefits

5.14.3 Misys Homecare Customers

5.15 Patient Care Technologies

5.16 Procura

5.16.1 Procura Health Management System

5.17 Siemens

5.17.1 Siemens Home Health Solutions Customer Base:

5.17.2 Siemens Research and Development

5.17.3 Siemens Information and Communication Networks

5.17.4 Siemens Information and Communication Mobile Group

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

Abstract

• Clinical activities
• Billing
• Financial
• Care management decisions

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