Wireless Healthcare 2008

Published by: Wireless Healthcare

Published: Apr. 23, 2008 - 126 Pages

Table of Contents

1 The New eHealth Model

1.1 Introduction

1.2 The Existing Model

1.3 Key Concepts

1.3.1 Equivalence

1.3.2 The Disruptive Model

1.3.3 The Compromised Model

1.3.4 The Pharma Based Healthcare Model

1.3.5 Marketing Healthcare

1.4 Innovation Timeline

1.4.1 The eHealth Model Today

1.4.2 How the Model will Evolve

1.4.3 The Ultimate eHealth Model

1.5 Revenue Models

1.5.1 Device Sales

1.5.2 Subscriptions

1.5.3 Healthcare Payer Funded

1.5.4 Other Revenue Models

1.6 The eHealth Vendor’s Checklist

1.6.1 Is your Business Model Disruptive?

1.6.2 Is your Revenue Model Secure?

1.7 The Four Billion Dollar Market

2 Wireless eHealth Platforms

2.1 Introduction - Why a Platform?

2.2 The Evolving eHealth Market

2.2.1 The Incumbents Apply the Brakes

2.2.2 Circles of Care

2.2.3 Mobilising Healthcare

2.3. What is an eHealth Platform?

2.3.1 Basic Components

The User Interface

Figure 1 The User Interface

Communications

Back Office Support

Figure 2 Communications and Back Office Support

2.3.2 What does it do for the NextGen Healthcare Provider?

2.3.3 Where does it fit in the Healthcare IT Market?

2.4. Examples of eHealth Platforms

2.4.1 QConnect and LifeComm

2.4.2 WebSphere

2.4.3 BlueAid

2.4.4 Sensium and Oracle HTB

2.4.5 iPlato

2.5. Market Projections

2.6. Conclusions

3 Wireless Based Remote Monitoring and Diagnostics

3.1 The Current eHealth Model

3.1.1 Limitations of the Current Model

3.1.2 Devices

3.1.3 Data Pipes

3.1.4 Automated Response and Diagnostics

3.1.5 Marketability

3.2 A Typical eHealth Service

3.2.1 Working within Limits

Limit the Range of Diagnostic Tests

Employ Simple Communications Platforms

Build Own Patient Record Systems

Adopt Call Centre Based Model

Partner with Health Insurers

3.2.2 The Absence of Disruption

Working in a Heavily Regulated Market

Limitation of Call Centre Based Models

3.3 eHealth as a Disruptive Process

3.4 Boots eHealth - a Missed Opportunity?

3.5 A New Model and New Challenges

3.5.1 Taming the Device Market

3.5.2 Improving Data Transport

3.5.3 Deploying Electronic Patient Records

3.5.4 Moving Beyond the Call Centre

3.5.5 Bringing Remote Diagnosis to the Market

3.6 Epidemic Monitoring and Control

3.7 Conclusions

4 Telecare for the Elderley

4.1 Introduction - a Maturing Market

4.2 Ageing in Place

4.3 The European and US Markets

4.4 The Impact of Health 2.0

4.4.1 What is Health 2.0?

4.4.2 The Adoption of Health 2.0 by Ageing Consumers

4.4.3 The Impact of Health 2.0 on Incumbent Healthcare Providers

4.5 Blood Glucose Monitoring Case Study

4.5.1 Overview

4.5.2 Rational for Using the Device

4.5.3 Home Monitoring in Practice

4.5.4 Where to Next?

4.6 Changing Expectations of the Elderly

4.7 Market Evolution

4.8 How Vendors are Adapting

4.8.1 Tunstall - on Both Sides of the Fence

4.8.2 Docobo - Catching them Young

4.8.3 Caregiver Technology - New Kids on the Block

4.8.4 Vendors and Health 2.0

4.9 Projections

4.10 Conclusions

5 eHealth and Consumer Electronics

5.1 Introduction - The Accidental eHealth Provider

5.2 The Supporting Science

5.3 The Basic Model

5.3.1 Exercise

Polar Electro

Fitbug

Garmin

5.3.2 Diet

MyFoodPhone

5.3.3 Mental Agility

Nintendo

5.3.4 Breathing

InterCure

HeartMath

5.4 Routes to Market

5.4.1 Device Certification and Approval

5.4.2 Compliance and Effectiveness

5.5 Assessing the Market

5.5.1 Consumer Motivation

Youth and Exercise

Older Consumers

Mental Well-Being

Gender and Socio-Economic Grouping

5.5.2 Vendor Motivation

Device Vendors

Service Vendors

5.5.3 Market Size, Growth and Timing

5.6 Marketing Strategies

5.6.1 Lessons from the Online Dieting Market

5.6.2 Choosing a Healthcare Partner

5.6.3 Vertical and Niche Markets

Healthcare is Just a (Computer) Game

The Young and Fit

5.6.4 Extending the Preventative Healthcare Model

5.6.5 Barriers to Market Growth

Lack of User Commitment

Lack of Healthcare Provider Commitment

Lack of Communication Technology

5.7 Incumbent Healthcare Providers

5.7.1 Global ECG Monitoring Services

5.8 Conclusions

6 Wireless Based Disease Monitoring

6.1 Introduction - Achieving Global Reach

6.2 Three Diseases and Psychosomatics

6.2.1 Managing Diseases

Managing Aids

Managing Diabetes

Managing Epidemics

6.2.2 Managing Psychosomatics

6.3 Two Approaches to Deployment

6.3.1 The Top Down Approach

The Top Down Approach and the Healthcare Organisation

The Top Down Approach and the IT Vendor

6.3.2 The Bottom Up Approach (‘Google Health’)

6.4 The Technology

6.4.1 The Network - Multiple Roles for Wireless

6.4.2 Intelligence at the Core

Top Down Deployments

Bottom Up Deployments

6.4.3 Middleware as the Middle Ground

6.5 The Market

6.5.1 Market Drivers

Vendor Push

IBM

Yahoo and Google

Oracle and Microsoft

Cerner

The Pharmacuetical Sector

Consumer Pull

Patients

Healthcare Providers

6.5.2 Market Inhibitors

Privacy

Restrictive Practises

Regulation

Technical Issues

Abstract

Much of the technology on which today’s wireless ehealth products and services are based was in place a decade ago. However, during the past 10 years healthcare providers have channelled IT spending into the development of core infrastructure rather than purchase devices and service for deployment at the edge of care networks. In the UK the NHS, the state run healthcare provider, embarked on a major IT project aimed at building a ‘spine’ onto which emerging ehealth services could be attached at a later date. Other healthcare providers around the world have been working on similar projects which, like the NHS’ ‘Connecting for Health’, focused on the building of a comprehensive electronic patient record. While these large projects put ehealth on hold they were needed to create the platforms onto which wireless based medical devices could be deployed.

Now we are beginning to see some core healthcare IT infrastructure applications rolled out and once again attention is turning towards devices and services that can lower the cost of care and increase efficiency at the edge of healthcare networks. However, we are also seeing the emergence of alternatives to the incumbent healthcare provider’s electronic patient record systems. Large IT vendors such as Google and Microsoft are developing hosted electronic patient record systems that leverage the position health based search has gained in the market for online services. While Health 2.0, of which hosted patient records is a key component, is still poorly defined it does challenge the business model of the incumbent healthcare provider. Just as health based search impacted on the relationship between the patient and the GP, so Health 2.0 has the potential to change the way the patient manages their relationship with hospital staff. Some wireless healthcare device developers have been quick to pick up on this trend and are already seeking ways for their products to exploit Health 2.0 based services.

We are also seeing consumer electronics companies taking a keener interest in the wireless healthcare market. Vendors are coming to regard the healthcare market, which in part is supported by public rather than consumer spending, as a safe haven as their traditional markets come under pressure due to adverse economic conditions.

At the same time an economic downturn may impact on the patient’s ability to pay for advanced services, and in some cases preventative healthcare could start to be regarded as a luxury that healthcare providers cannot afford. As we suggested in our Wireless Healthcare 2004 report, a key market driver - an ageing population - may also be tested if the savings of senior citizens are adversely effected by a prolonged period of financial turmoil. Conversely, a prolonged economic downturn will force healthcare providers to implement the type of IT services that have reduced the cost base and increased the efficiency of organisations in other sectors of the economy - such as retailing and financial services.

In this report we examine the key issues facing healthcare providers and IT vendors who are planning to deploy the next generation of wireless and online healthcare services, and some of the companies who are already active in the wireless healthcare market.

Please note - if you purchase Wireless Healthcare 2008, you will also receive the 2004 version. The online delivery will be delivered as a zip file.

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