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The 2009 Healthcare Business Market Research Handbook

Published by: Richard K. Miller & Associates

Published: Jun. 12, 2009 - 290 Pages


Table of Contents


PART I: MARKET OVERVIEW

1 HEALTHCARE SPENDING

1.1 National Health Expenditures

1.2 Distribution of Healthcare Expenditures

1.3 Source of Funds for Healthcare Expenditures

1.4 Hospital Patient Diagnosis

1.5 Hospital Procedures

1.6 Hospital Spending

2 STATE-BY-STATE ASSESSMENT

2.1 State Health Rankings

2.2 State Healthcare Spending

2.3 State Spending For Hospital Care

3 HOSPITALS

3.1 Profile of U.S. Hospitals

3.2 Utilization

3.3 Financial Performance

3.4 Hospital Services

4 LARGEST HEALTHCARE PROVIDERS

4.1 Healthcare Companies

4.2 Healthcare Systems

4.3 For-profit Healthcare Systems

4.4 Not-for-profit Healthcare Systems

4.5 Public Healthcare Systems

4.6 Investor-owned Chains

4.7 Children’s Hospitals

4.8 Medical Group Practices

4.9 Post-acute Care Companies

4.10 Long-term Acute-care Hospitals

4.11 Skilled-nursing Facility Companies

4.12 Behavioral Health Providers

4.13 Rehabilitation Providers

5 AWARD-WINNING HOSPITALS

5.1 H&HN’s Most Wired Hospitals and Health Systems

5.2 SDI’s 100 Most Highly Integrated Healthcare Networks

5.3 Thomson Reuters Top 100 Hospitals

5.4 U.S. News & World Report’s Best Hospitals

PART II: MANAGEMENT, OPERATIONS & STRATEGIC PLANNING

6 DESIGN & CONSTRUCTION

6.1 Market Assessment

6.2 Market Leaders

6.3 Design Trends

6.4 Market Trends

7 ELECTRONIC MEDICAL RECORDS

7.1 A National Priority

7.2 Economics of EMRs

7.3 EMR Implementation in Hospitals

7.4 EMRs in Physician Practices

7.5 EMR Infrastructure

7.6 Certified EMR Software and Systems

8 EMERGENCY DEPARTMENTS

8.1 Profile of Emergency Medicine

8.2 Profile of ED Patients

8.3 The State of Emergency Care

8.4 Overcrowding and Diversions

8.5 Wait Time

8.6 ED Patient Satisfaction

8.7 Mental Illness Treatment in the ED

8.8 Non-urgent Care

8.9 Stand-alone Emergency Departments

8.10 Marketing Emergency Department Services

8.11 Market Resources

9 FINANCIAL INCENTIVES

9.1 Pay-for-Performance

9.2 Gainsharing

10 GREEN HOSPITALS

10.1 Green Construction in Hospitals

10.2 Energy Efficiency

10.3 Environmentally Friendly Foodservice

11 HOSPITAL MANAGEMENT

11.1 Hospitals in Pursuit of Excellence

11.2 Top Issues Confronting Hospitals

11.3 Priorities in Information and Management Systems

11.4 Financial Issues

12 IMPACT OF THE RECESSION

12.1 Impact Assessment

12.2 Consumers Defer Care

12.3 Declining Hospital Revenue

12.4 Tightening Credit and Delayed Capital Spending

12.5 Stimulus Spending For Healthcare

13 INFORMATION TECHNOLOGY

13.1 Market Assessment

13.2 IT Priorities

13.3 Barriers to Adoption

13.4 Wired Hospitals

13.5 Electronic Medical Records

13.6 Computerized Physician Order Entry

13.7 Market Resources

14 MARKETING

14.1 Marketing Budgets

14.2 Advertising and Promotions

14.3 Word-of-Mouth

14.4 Online Activities

14.5 Community Outreach Programs

14.6 Market Resources

15 MEDICAL TOURISM

15.1 Patients From Overseas

15.2 U.S. Hospitals Operating Abroad

15.3 Traveling Abroad for Medical Procedures

15.4 Market Resources

16 OUTSOURCING

16.1 Market Assessment

16.2 Outsourced Services

16.3 Outsourcing Firms

16.4 Outsourcing Decisionmaking

17 PATIENT-FOCUSED HEALTHCARE

17.1 Consumer-directed Hospital Services

17.2 Meeting Customer Needs

17.3 Amenities

17.4 Internet-connected Patient Rooms

17.5 Upscale and Healthy Dining for Patients

17.6 Hospital-operated Wellness Centers

17.7 Complimentary and Alternative Medicine

17.8 Arts Programming

18 QUALITY & PATIENT SAFETY

18.1 Healthcare Quality Initiatives

18.2 Quality and Safety Improvement

18.3 Quality Reporting

18.4 Never Events

18.5 Hospital-acquired Infections

18.6 DVT and VTE

18.7 Medication Errors

18.8 Evidence-based Medicine

18.9 Market Resources

19 READMISSIONS

19.1 The Cost of Readmissions

19.2 Causes of Readmissions

19.3 Challenges in Reducing Readmissions

19.4 Federal Initiatives

20 REIMBURSEMENT

20.1 Overview

20.2 Medicare and Medicaid

20.3 Health Insurance Reimbursement

20.4 Patient Out-of-Pocket Payments

20.5 Uncompensated Care

21 SUPPLY CHAIN MANAGEMENT

21.1 Market Assessment

21.2 Group Purchasing Organizations

21.3 Supply Chain IT

21.4 Online Purchasing

21.5 Market Resources

22 TRANSPARENCY

22.1 Transparency in Consumer-directed Healthcare

22.2 Complexity of Healthcare Pricing

22.3 State Requirements for Hospital Price Reporting

PART III: HEALTHCARE PROFESSIONALS

23 HEALTHCARE SALARIES SURVEYS

23.1 Physician Compensation

23.2 Hospital Executive Salaries

23.3 Salary Surveys

24 PHYSICIANS

24.1 Physician Supply

24.2 State-by-State Assessment

24.3 Specialists

24.4 Physicians in Group Practice

24.5 Physician Shortages

24.6 Locum Tenens

24.7 Market Resources

25 HOSPITALISTS

25.1 Overview

25.2 Benefits of Hospital Medicine

25.3 Market Resources

26 NURSES

26.1 Nurses and Healthcare Quality

26.2 State-by-State Assessment

26.3 Licensed Registered Nurses

26.4 Doctorate in Nursing

26.5 Nurse Staffing Requirements

26.6 Nurse Shortages

26.7 Market Resources

PART IV: SEGMENTATION

27 SPECIALTY HOSPITALS & CENTERS

27.1 Overview

27.2 Specialty Hospitals

27.3 Ambulatory Surgery Centers

27.4 Imaging Centers

28 GERIATRICS

28.1 Aging and Health in America

28.2 Chronic Disability Among the Elderly

28.3 Home Care for Seniors

28.4 Geriatric Care Shortage

28.5 Market Resources

29 PEDIATRICS & CHILDREN’S HOSPITALS

29.1 Market Assessment

29.2 Children’s Hospitals

29.3 Emergency Care for Children

29.4 Medicaid and Children’s Care

29.5 The National Children’s Study

29.6 Market Resources

30 PRIMARY CARE

30.1 Physician Visits

30.2 Benefits of Increased Primary Care

30.3 Primary Care Physicians

30.4 Medical Homes

30.5 Concierge Physician Practices

31 RURAL HOSPITALS

31.1 Overview

31.2 Staffing Challenges for Rural Healthcare

31.3 Medicare Reform Provisions for Rural Healthcare

31.4 Telemedicine in Rural Healthcare

32 POST-ACUTE & LONG-TERM CARE

32.1 Long-term Acute-care Hospitals

32.2 Nursing Homes

32.3 Assisted Living

32.4 Home Care

32.5 Hospitals in the Home Care Market

32.6 Hospice and Palliative Care

32.7 Hospital Palliative Care Programs

32.8 Market Resources

33 CONVENIENT-CARE CLINICS

33.1 Retail-based Healthcare

33.2 In-store Clinics

33.3 Hospital-operated Clinics

33.4 Airport Clinics

33.5 Market Resources

PART V: TREATMENTS & SPECIALIST MARKETS

34 ALCOHOL & DRUG ADDICTION

34.1 Substance Abuse

34.2 Medical Treatment for Alcohol Abuse

34.3 Medical Treatment for Drug Addiction

34.4 Prevention Programs

34.5 Market Resources

35 ALLERGIES

35.1 Prevalence and Economic Impact

35.2 Types of Allergies

35.3 Seasonal Allergies

35.4 Psychological Symptoms of Allergies

35.5 Market Resources

36 ALZHEIMER’S DISEASE & DEMENTIA

36.1 Prevalence and Expenditures

36.2 Costs and Economic Impact

36.3 Patient Care

36.4 Research for Treatments and Prevention

36.5 Influence of Mental Activity

36.6 Market Resources

37 ARTHRITIS

37.1 Economic Impact of Arthritis

37.2 Prevalence of Arthritis

37.3 Expected Arthritis Epidemic

37.4 Types of Arthritis

37.5 Medical Treatment

37.6 Market Resources

38 BARIATRIC SURGERY

38.1 Overview

38.2 Impact on Obesity-related Diseases

38.3 Market Resources

39 BEHAVIORAL & MENTAL HEALTH

39.1 Prevalence of Mental Illness

39.2 Mental Healthcare Expenditures

39.3 Reimbursement Parity

39.4 The State of Mental Health and Treatment

39.5 Community Hospital Services

39.6 Behavioral Health Hospitals

39.7 Market Resources

40 CANCER

40.1 Prevalence of Cancer

40.2 Cancer in Men

40.3 Cancer in Women

40.4 Cancer in Children

40.5 Trends in Incidence and Mortality

40.6 The Medical Treatment Marketplace

40.7 Prevention

40.8 Market Resources

41 CARDIOVASCULAR DISEASE

41.1 Prevalence of Cardiovascular Disease

41.2 The Cost of Cardiovascular Disease

41.3 Trends in Cardiovascular Disease

41.4 Prevention

41.5 Cardiac Surgery

41.6 Angioplasties

41.7 Expanding Hospital Cardiovascular Services

41.8 Benchmark Cardiovascular Hospitals

41.9 Market Resources

42 COSMETIC & RECONSTRUCTIVE SURGERY

42.1 Market Assessment

42.2 Cosmetic Surgery for Women

42.3 Cosmetic Surgery for Men

42.4 Market Trends

42.5 Market Resources

43 DIABETES

43.1 The Diabetes Epidemic in America

43.2 Type I and Type II Diabetes

43.3 The Economic Impact of Diabetes

43.4 Diabetes Management by Patients

43.5 Diabetes Drug Research

43.6 Market Resources

44 HEADACHES & MIGRAINES

44.1 Prevalence of Headaches

44.2 Recent Developments in Headache Treatment

44.3 Headache Clinics

44.4 Market Resources

45 HIV & AIDS

45.1 Prevalence and Expenditures

45.2 The Current AIDS Epidemic

45.3 HIV Drug Treatment

45.4 Prevention Strategies

46 INFECTIOUS DISEASES

46.1 Prevalence

46.2 Colds

46.3 Influenza

46.4 Threat of Flu Pandemics

46.5 West Nile Virus

46.6 Norwalk Virus

46.7 Hepatitis C

46.8 Sexually Transmitted Diseases

46.9 Pneumonia and Pneumococcal Disease

47 KIDNEY DISEASE

47.1 Prevalence and Expenditures

47.2 Kidney Transplants

47.3 Renal Dialysis Services

47.4 Daily At-home Dialysis

47.5 Market Resources

48 OPHTHALMOLOGY

48.1 Prevalence of Eye Diseases

48.2 Cost of Eye Disease

48.3 Age-related Macular Degeneration

48.4 Glaucoma

48.5 Cataracts

48.6 Refractive Surgery (LASIK)

48.7 Corneal Refractive Therapy

48.8 Intraocular Lenses

48.9 Reversing Partial Blindness

48.10 Market Resources

49 ORTHOPEDICS

49.1 Orthopedic Surgery

49.2 Back Pain and Spinal Surgery

49.3 Knee Surgery

49.4 Hip Surgery

49.5 Foot and Ankle Problems

49.6 Market Resources

50 OSTEOPOROSIS

50.1 Prevalence of Osteoporosis

50.2 Medical Treatments

50.3 Prevention

50.4 Market Resources

51 PAIN MANAGEMENT

51.1 Prevalence of Pain

51.2 The Economic Impact of Pain

51.3 Pain Management in Hospitals

51.4 Pain Management in Children’s Hospitals

51.5 Pain Medications

51.6 Market Resources

52 RESPIRATORY DISEASES

52.1 Economic Impact

52.2 Chronic Obstructive Pulmonary Disease

52.3 Asthma Prevalence and Mortality

52.4 Asthma in Children

52.5 Asthma Treatment

52.6 Tuberculosis

52.7 Market Resources

53 SLEEP DISORDERS

53.1 Overview

53.2 Sleep and Overall Health

53.3 Sleep in America

53.4 Sleep Disorders

53.5 Hospital Sleep Centers

53.6 Market Resources

54 SURGERY

54.1 Market Assessment

54.2 Quality Standards

54.3 Minimally Invasive Surgery

54.4 Scarless Surgery

54.5 Robotic Surgery

54.6 Telesurgery

54.7 Transfusion-free Surgery

54.8 Surgery Webcasts

55 TRANSPLANTS

55.1 Overview

55.2 Organ Transplant Centers

55.3 Organ Donors and Transplants

55.4 Organ Procurement

55.5 Incentives for Organ Donations

55.6 Eye Transplants

55.7 Bone Marrow and Blood Stem Cell Transplants

MARKET RESOURCES

REFERENCES

Abstract

The 2009 Healthcare Business Market Research Handbook is a comprehensive analysis of the $2.5 trillion U.S. healthcare marketplace. With the most recent statistics and data available, it is designed to be a strategic business planning resource for executives in all medical and healthcare organizations, from hospitals to integrated networks, from health plans to suppliers. This is the best selling publication of its kind available from any source.

Healthcare business and market data are scattered through a myriad of sources. The value of the handbook is that it compiles top-line data into a single easy-to-use reference, with information sourced from the Agency for Healthcare Research and Quality, Alzheimer’s Association, American Cancer Society, American Diabetes Association, American Heart Association, American Health Care Association, American Health Information Management Association, American Hospital Association, American Lung Association, American Medical Association, American Society of Plastic Surgeons, Arthritis Foundation, Asthma and Allergy Foundation of America, Center for Studying Health System Change, Centers for Disease Control and Prevention, Centers for Medicare & Medicaid Services, Health Affairs, Healthcare Information and Management Systems Society, Healthcare Financial Management Association, Hospitals & Health Networks, IMS Health, Journal of the American Medical Association, MetLife Mature Market Institute, Modern Healthcare, National Institutes of Health, National Association of Children’s Hospitals, National Alliance on Mental Illness, New England Journal of Medicine, Press Ganey Associates, PricewaterhouseCoopers, Qforma, Robert Wood Johnson Foundation, Sg2, The Henry J. Kaiser Family Foundation, The Leapfrog Group, The Wall Street Journal, Thomson Reuters Healthcare, and United Health Foundation, among others.

The handbook also includes assessments and discussions on topics such as quality and patient safety, patient satisfaction, marketing and community relations, financial management, and IT. Over 800 website links - directly embedded into the electronic edition - will direct you to additional market research information and other resources.

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