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 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 $736 million in 2011 are anticipated to reach $2.5 billion by 2018. Table devices typically cost $350 in 2011, with the average price of the software at $75 per unit. This means there is a services business that will pay for the devices over time.

WinterGreen Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, Bloomberg, and Thompson Financial.

Market Leaders

Bayer HealthCare / Viterion TeleHealthcare Philips
Care Innovation / Intel® GE Care Innovations Bosch Group

Market Participants

A&D Engineering / A&D Medical
Aerotel Medical Systems
American Heart Association (AHA)
American TeleCare
American Telemedicine Association
Apple
AT&T
Athens Regional Home Health In-Home Telemonitoring Services
Authentidate Holding
Axon
Bayer AG / Bayer HealthCare
Biotronik
Bosch Group
Cardiocom
Care Innovations: Intel and GE
Columbia University’s Informatics for Diabetes Education and Telemedicine
Connections365
Continua
Debiotech
Evident Health Services
FuzeBox
Gemalto / Cinterion
Home Healthcare Hospice and Community Services (HCS)
Honeywell
Infopia
Johns Hopkins Launch Home Telemonitoring Education Initiative
JSC CEM Technology
Kiwok
LG
LifeMasters
Logitech / LifeSize
McKesson
MedApps
Medtronic
Montefiore / CMO, the Care Management Company
National Committee for Quality Assurance
Nonin Medical, Inc.
Partners Healthcare
Partners Healthcare Center for Connected Health
Philips
ProConnections, Inc.
REACH Health, Inc.
RS TechMedic BV
Samsung
Sandata Technologies, Inc.
STMicroelectronics
TeleAtrics™
Trifecta Technologies
TouchPointCare
Tunstall Healthcare Group
AMAC / Intel® Health Guide
University of Houston
Verizon Technologies
Veteran’s Administration (VA)
VIDAVO S.A
Virtual Health
Vodafone
VRI
Windstream

Report Methodology


This is the 508th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are priorities in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and proprietary data bases.

The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so WinterGreen Research looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.
The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.

Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.
Over 200 in depth interviews are conducted for each report with a broad range of key participants and industry leaders in the market segment. We establish accurate market forecasts based on economic and market conditions as a base. Use input/output ratios, flow charts, and other economic methods to quantify data. Use in-house analysts who meet stringent quality standards.

Interviewing key industry participants, experts and end-users is a central part of the study. Our research includes access to large proprietary databases. Literature search includes analysis of trade publications, government reports, and corporate literature.

Findings and conclusions of this report are based on information gathered from industry sources, including manufacturers, distributors, partners, opinion leaders, and users. Interview data was combined with information gathered through an extensive review of internet and printed sources such as trade publications, trade associations, company literature, and online databases. The projections contained in this report are checked from top down and bottom up analysis to be sure there is congruence from that perspective.

The base year for analysis and projection is 2010. With 2010 and several years prior to that as a baseline, market projections were developed for 2011 through 2017. These projections are based on a combination of a consensus among the opinion leader contacts interviewed combined with understanding of the key market drivers and their impact from a historical and analytical perspective. The analytical methodologies used to generate the market estimates are based on penetration analyses, similar market analyses, and delta calculations to supplement independent and dependent variable analysis. All analyses are displaying selected descriptions of products and services.

This research includes referencde to an ROI model that is part of a series that provides IT systems financial planners access to information that supports analysis of all the numbers that impact management of a product launch or large and complex data center. The methodology used in the models relates to having a sophisticated analytical technique for understanding the impact of workload on processor consumption and cost.

WinterGreen Research has looked at the metrics and independent research to develop assumptions that reflect the actual anticipated usage and cost of systems. Comparative analyses reflect the input of these values into models.

The variables and assumptions provided in the market research study and the ROI models are based on extensive experience in providing research to large enterprise organizations and data centers. The ROI models have lists of servers from different manufacturers, Systems z models from IBM, and labor costs by category around the world. This information has been developed from WinterGreen research proprietary data bases constructed as a result of preparing market research studies that address the software, energy, healthcare, telecommunicatons, and hardware businesses.

Check Out These Key Topics


Chronic heart failure
CHF
Chronic heart disease
Telehealth
Telemedicine
Telemonitoring
CMS Telemonitoring
Heart disease treatment efficacy
Care Management
CMHCB
Health Buddy System
Medicare Monitoring
Remote patient monitoring
Heart failure mortality
Health economics
Heart Failure
Heart Diseases
Cardiovascular Diseases
Behavior CHF patient
Behavior Modification
Telemedicine
Hypertension monitoring
Chronic heart disease telemonitoring
Health care delivery efficacy
Chronic Diseases Monitoring
Health Services and Systems
Telehealth
DRE
Health Monitoring
Health Communication
Aging
Monitoring Technology
Health engagement
Medical innovation
Mobile health
Remote health monitoring
Clinical communication
Medical communication
Telemedicine
Telehealth
Tele-health
Remote medical support
Telepharmacy
Seniors and health
Diabetes Monitoring
Telemedicine
Remote patient monitoring
Chronic heart failure mortality
health economics
Heart Failure
Heart Diseases
Cardiovascular Diseases
Quality of Care
American Medical Group Association
Department of Veterans Affairs telemonitoring
Chronic disease management
Health Buddy System Healthcare telemonitoring
Medicare telemonitoring
Bosch telehealth,
Treatment Monitoring

Table Of Contents

Table of Contents

Telemedicine Executive Summary

The study is designed to give a comprehensive overview of the telemedicine equipment market segment. Research represents a selection from the mountains of data available of the most relevant and cogent market materials, with selections made by the most senior analysts. Commentary on every aspect of the market from independent analysts creates an independent perspective in the evaluation of the market. In this manner the study presents a comprehensive overview of what is going on in this market, assisting managers with designing market strategies likely to succeed.

Telemedicine Executive Summary ES-1
Telemedicine Market Driving Forces ES-1
Telemedicine IBM Watson, Honeywell, Vitarian, and Bosch
Diagnostic Support Expert Systems ES-3
Telemonitoring Market Driving Forces ES-9
Measures of Tele Monitoring Effectiveness ES-10
Home Patient Monitoring Supports Patient Education ES-11
Wireless Telemonitoring Devices ES-11
Real-Time Monitoring Of Physiological Data ES-13
Telemedicine Market Shares ES-14
Telemedicine Market Forecasts ES-16

Telemedicine Market Description and Market Dynamics

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

Telemedicine Market Shares and Market Forecasts
This section selectively describes market shares, forecasts, segments, and regional revenue. Numbers are the result of primary research in all cases. Selected companies are described from an independent analyst perspective with a thumbnail sketch or analysis of their market numbers or commentary on their strengths and weaknesses. Some of the analysis is focused on looking at the topic segment by segment, including company descriptive analyses by segment and subsegment.

2. Telemedicine Market Shares and Market Forecasts 2-1

2.1 Telemedicine Market Driving Forces 2-1
2.1.1 Telemedicine IBM Watson, Honeywell,
Vitarian, and Bosch Diagnostic Support Expert Systems 2-4
2.1.2 Telemonitoring Market Driving Forces 2-9
2.1.3 Measures of Tele Monitoring Effectiveness 2-10
2.1.4 Home Patient Monitoring Supports Patient Education 2-11
2.1.5 Wireless Telemonitoring Devices 2-11
2.1.6 Real-Time Monitoring Of Physiological Data 2-13
2.2 Telemedicine Market Shares 2-14
2.2.1 Bosch Healthcare Telehealth Custom Messaging Feature 2-16
2.2.2 Bosch Healthcare telehealth Wireless Modem Option 2-17
2.2.3 Bosch ViTelCare T400 Home Health Monitor 2-17
2.2.4 Bosch Installed Base 2-18
2.2.5 Bosch Telehealth Solutions 2-18
2.2.6 Bosch Telemedicine 2-18
2.2.7 Bosch Telehealth Systems Certification in Disease
Management From NCQA 2-19
2.2.8 Bayer / Viterion 2-20
2.2.9 Bayer / Viterion TeleHealthcare 2-20
2.2.10 Philips 2-21
2.2.11 Intel / GE Care Innovations 2-21
2.2.12 Honeywell HomeMed 2-24
2.2.13 Honeywell HomMed Genesis Touchâ„¢Telehealth 2-25
2.2.14 Samsung 2-25
2.2.15 Samsung Medical Business 2-26
2.2.16 MedApps HealthPAL MA105to Extend the Home Selects VRI 2-26
2.2.17 Nonin 2-27
2.2.18 VRI 2-27
2.2.19 VRI Healthcare Services 2-27
2.2.20 Gemalto / Cinterion 2-28
2.2.21 Gemalto CINTERION Wireless Module Functions 2-29
2.3 Telemedicine Market Forecasts 2-30
2.3.1 Congestive Heart Failure 2-34
2.3.1 Diabetes Chronic Illness Numbers 2-37
2.3.1 Incidence of Chronic Disease 2-39
2.3.2 Chronic Diseases Account For Two-Thirds Of
Worldwide Healthcare Spending 2-41
2.3.3 Clinical Staff / Patient Ratios: Physician Shortages 2-41
2.3.4 Viterion Home Health Outcomes in a CHF Population: 2-42
2.4 Telemonitoring Prices and Reimbursement 2-44
2.4.1 Cost of Honeywell Homemed Home
Health Monitoring and MedPartner 2-45
2.4.2 TouchPointCare 2-46
2.5 Interactive Voice Response (IVR) 2-46
2.5.1 Healthcare Providers Use Technology To
Improve Effectiveness Of Care Providers 2-50
2.5.2 HHSC 2-51
2.6 Tele-Monitoring Alarm Devices 2-51
2.7 Tele-Monitor Regional Markets 2’53
2.7.1 Remote Patient Monitoring Market In The US 2-55
2.7.2 Remote Patient Monitoring Market In Europe 2-55
2.7.3 Bosch Remote Patient Monitoring
Regional Market Participation 2-55

Telemedicine Product Description
This section describes selected companies and selected products. Products for this market segment are described with attention to the most significant aspect of features and functions in this category of product. The juxtaposition of a range of different product descriptions from a single market category provides a really good way to access market directions and achieve market competitive analysis. This section is arranged products. Company products are described in the appropriate sections, meaning a company is mentioned several times in the chapter in different places.

3. Telemedicine Product Description 3-1

3.1 Bosch Healthcare Telehealth Solutions 3-1
3.1.1 Bosch Healthcare, Bosch Telehealth and Care Solutions 3-1
3.1.2 Bosch Healthcare Supports Independent Living At Home 3-2
3.1.3 Bosch Telehealth Solutions 3-2
3.1.4 Bosch Telemedicine Provides Daily Care for
Patients with Chronic Conditions 3-3
3.1.5 Bosch Devices for Patients with Diabetes 3-3
3.1.6 Bosch Health Buddy Decision Support Tools 3-5
3.1.7 Bosch Patient’s Support System 3-6
3.1.8 Bosch Telehealth Results 3-8
3.1.9 Bosch Healthcare telehealth Wireless Modem Option 3-8
3.1.10 Bosch Heath Buddy 3-9
3.1.11 Bosch Healthcare Telehealth Custom Messaging Feature 3-10
3.1.12 Bosch Healthcare Telehealth T400 Home Health Monitor 3-11
3.1.13 Bosch Healthcare Advancing Telehealth Solutions
Through Dialogue 3-13
3.1.14 Bosch Healthcare Telehealth Growth 3-14
3.1.15 Bosch Health Buddy system / VRI 3-15
3.1.16 McKesson Telehealth Advisor 3-15
3.1.17 McKesson Channel Partner - The Bosch Group 3-18
3.2 Bayer / Viterion TeleHealthcare 3-18
3.2.1 Bayer / Viterion 200 TeleHealth Monitor 3-20
3.2.2 Viterion Telehealthcare, A Business Of Bayer Healthcare 3-23
3.2.3 Viterion 100 TeleHeath Monitor 3-23
3.2.4 ViterionNET Simple Internet Connection 3-25
3.2.5 ViterionNET Capabilities 3-25
3.2.6 ViterionNET Data-Encryption 3-27
3.2.7 Viterion® 200 Telehealth Monitor For Diabetes Care 3-28
3.2.8 Alegent Health Homecare Viterion 100 Home
Care Tele-monitoring Survey 3-29
3.2.9 Viterion Telemonitoring Equipment: 3-29
3.3 Honeywell 3-32
3.3.1 Honeywell Tablet Telehealth App 3-33
3.3.2 Honeywell Telehealth Devices 3-34
3.3.3 Samsung Galaxy Tab to Run Honeywell Cloud Telehealth App 3-34
3.3.4 Honeywell Genesis Touch allows the Galaxy tablet 3-35
3.3.5 Honeywell Genesis LifeStream Dashboard 3-35
3.3.6 Honeywell HomMed Genesis Touchâ„¢Telehealth 3-36
3.3.7 Honeywell HomMed Redefining Telehealth with
Tablet Technology 3-36
3.3.8 Honeywell LifeStream, Genesis Fuze Meeting
Cloud-Based Platform 3-39
3.3.9 Honeywell HomMed 3-39
3.3.10 Honeywell HomeMed Health Monitoring System:
Visiting Nurses Association (VNA) 3-40
3.3.11 Honeywell HomeMed Health Monitoring System 3-40
3.3.12 Honeywell HomMed MedPartner 3-42
3.3.13 Honeywell Homemed Health Monitoring System
Criteria for Monitoring 3-43
3.3.14 Cost of Honeywell HomeMed Home Health Monitoring and
MedPartner 3-44
3.3.15 Honeywell HomeMed Health Monitoring System
FDA Class II, Hospital Grade, Medical Device 3-45
Honeywell HomMed Med Partner 3-46
3.4 Cardiocom Commander 3-47
3.4.1 Cardiocom Commander Modular And Flexible Design 3-51
3.4.2 Cardiocom System 3-56
3.4.3 Cardiocom Vital Sign Telemonitoring for CHF,
COPD, Asthma, Diabetes, Hypertension, and Obesity 3-58
3.4.4 Cardiocom® Multi-Disease Management 3-59
3.5 Philips Steady Scale 3-60
3.6 MedApps 3-62
3.7 Biotronik Cardiac Telemonitoring Devices 3-64
3.7.1 Biotronik Home Monitoring Lumax 540
Series State-Of-The-Art Features 3-65
3.8 Care Innovations 3-66
3.8.1 Care Innovations Patient Reports 3-67
3.8.2 Care Innovationsâ„¢ Connect Can Help Seniors In
Independent Living Facilities 3-72
3.9 Nursing Stations 3-73
3.10 Honeywell Web-Based LifeStream Management Suite 3-74
3.11 GE Healthcare / Intel Telemedicine 3-74
3.11.1 Intel Health Sessions 3-78
3.11.2 Intel Video Calls 3-78
3.12 LG Telemonitoring Smartcare System 3-79
3.13 Honeywell HomeMed’s Genesis Touch Telehealth
App Sends The Data To Honeywell’s Web-Based LifeStream
Management Suite 3-80
3.13.1 Honeywell HomMed Genesis Touch include the
Fuze Meeting visual collaboration 3-82
3.13.2 Honeywell HomMed LifeStreamâ„¢ Platform 3-83
3.13.3 Honeywell HomMed LifeStream Connect 3-83
3.14 STMicroelectronics 3-84
3.15 Viterion® TeleHealthcare Network is: 3-84
3.15.1 Viterion TeleHealthcare Nursing Station 3-85
3.16 Cardiocom Integrated Systems 3-85
3.16.1 Cardiocom Tiered Platforms 3-86
3.17 Pulse Oximetry 3-87
3.18 Nonin Pulse Oximetry Sensor Accuracy 3-88
3.18.1 Nonin PureSAT® Pulse Oximetry Technology 3-88
3.18.2 Nonin True Pulse Detection 3-89
3.18.3 Nonin Low Signal Filter 3-89
3.18.4 Nonin Smart Averaging 3-89
3.19 Portable Heart Monitoring Devices 3-89
3.20 Kiwok mHealth 3-89
3.20.1 Kiwok Equipment For Long-Term ECG 3-90
3.21 Thermograph 3-91
3.22 JSC CEM TEC Telemedicine 3-92
3.23 Home Medical Stations 3-93
3.24 AandD Medical 3-93
3.24.1 AandD Medical Scale 3-94
3.24.2 AandD Medical Activity Monitor 3-95
3.24.3 AandD Medical DataSend Personal Blood Pressure Monitor 3-96
3.25 Authentidate Holding 3-98
3.25.1 Authentidate Holding ExpressMDâ„¢ Solutions 3-99
3.26 Telemedicine Services 3-100
3.27 Bosch Telemedicine Services 3-100
3.27.1 Bosch / VRI 3-101
3.27.2 VRI Extends The Reach Of Bosch Healthcare
Telehealth Solutions 3-101
3.28 Consult A Doctor 3-102
3.29 Honeywell Web-based LifeStream Management Suite 3-103
3.30 Philips® Telemonitoring Services 3-103
3.31 Alcatel-Lucent 3-104
3.32 American Well collaboration with Harvard
Medical School's Joslin Diabetes Center 3-104
3.33 Cardiocom Telehealth Nurse 3-106
3.33.1 Cardiocom’s Clinical Services: 3-106
3.34 TouchPointCare 3-107
3.34.1 TouchPointCare Telehealth Program 3-109
3.34.2 TouchPointCare Telemedicine Positioning 3-110
3.34.3 TouchPointCare Application 3-112
3.34.4 TouchPointCare Monitoring Functions 3-112
3.34.5 TouchPointCare Flexibility 3-117
TouchPointCare Disease Management Programs 3-119
3.34.6 TouchPointCare Opinion Surveys - Patients,
Physicians, And Employees 3-120
3.35 Hospital Telemedicine Systems 3-123
3.36 Philips HeartStart Telemedicine System 3-123
3.36.1 Philips Heart Start 3-124
3.36.2 Philips IntelliVue Application Server 3-128
3.36.3 Phiips Application Server Positioning 3-130
3.37 Systems Hospitals Are Purchasing For
Remote Patient Monitoring 3-131
3.37.1 Hospital Telehealth Solutions As A Collaborative Care Model 3-131
3.38 Logitech LifeSize® Telehealth: Better Care To More
Patients For Less Money 3-132
3.38.1 Lifesize Telepresence Intelligently Optimized for the Network 3--135

Telemedicine Technology

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


Telemedicine Company Profiles

This section selectively describes company strategies, partners, acquisitions, and revenue by segment and regional revenue when available. Companies are described by looking at what is most interesting about that company. The descriptions collectively give a sense of market directions within the industry segment. The alphabetical listing of company thumbnail sketches provides an accessible way to find out what is going on in any particular company.

5.1 AandD Engineering / AandD Medical 5-1
5.1.1 AandD Medical Wellness Connected 5-3
5.1.2 AandD Wellness Connected Online Service 5-6
5.2 Aerotel Medical Systems 5-6
5.3 American Heart Association (AHA) 5-7
5.3.1 American Hospital Association Awards the
University of Rochester Medical Center’s Pediatric
Telemedicine Program Health-e-Access Recognition 5-7
5.4 American TeleCare 5-9
5.5 American Telemedicine Association 5-10
5.6 Apple 5-12
5.6.1 Apple Business Strategy 5-12
5.6.2 Apple Products 5-13
5.6.3 Apple iPhone 5-14
5.6.4 Apple iPad 5-14
5.6.5 Apple Mac Hardware Products 5-15
5.6.6 Apple iPod 5-16
5.6.7 Apple iTunes® 5-16
5.6.8 Apple Mac App Store 5-17
5.6.9 Apple iCloud 5-17
5.6.10 Apple Software Products and Computer Technologies 5-18
5.6.11 Apple Operating System Software iOS 5-18
5.6.12 Apple Mac OS X 5-18
5.6.13 Apple TV 5-19
5.6.14 Apple Net Sales 5-19
5.7 ATandT 5-19
5.7.1 ATandT Revenue 5-20
5.7.2 ATandT Wireless 5-22
5.7.3 ATandT Services and Products 5-22
5.7.4 ATandT Voice Service - 5-22
5.7.5 ATandT Innovative Data Services 5-24
5.7.6 ATandT Business Customers 5-24
5.7.7 ATandT Data/Broadband 5-25
5.7.8 ATandT Business Secure Mobile Threats 5-26
5.7.9 ATandT Mobile Security 5-26
5.8 Athens Regional Home Health In-Home Telemonitoring Services 5-28
5.9 Authentidate Holding 5-29
5.9.1 Authentidate Holding ExpressMDâ„¢ Solutions Joint Venture 5-30
5.9.2 Authentidate Regional Service Offerings 5-31
5.9.3 Authentidate Holding Revenues 5-32
5.9.4 Authentidate Holding Remote Patient Monitoring Solutions 5-35
5.9.5 Authentidate Holding VA Plan 5-35
5.9.6 Authentidate Holding Revenue 5-36
5.9.7 Authentidate Holding / EncounterCare Solutions Joint Venture 5-37
5.10 Axon 5-38
5.11 Bayer AG / Bayer HealthCare 5-39
5.11.1 Bayer / Viterion TeleHealthcare 5-39
5.11.2 Bayer Diabetes Care 5-39
5.11.3 Bayer Nexavar in Combination with Chemotherapy
Improves Progression-Free Survival in Patients with Advanced
Breast Cancer in Phase II Study 5-40
5.11.4 Bayer 2011 Revenue 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
5.13.1 Bosch Group 5-46
5.13.2 Bosch Healthcare Supports Independent Living At Home 5-46
5.13.3 Bosch Security Systems Division 5-47
5.13.4 Robert Bosch Healthcare 5-48
5.13.5 Robert Bosch Remote Patient Monitoring 5-49
5.13.6 Bosch Healthcare Telehealth Systems 5-50
5.13.7 Bosch Healthcare Health Buddy System 5-52
5.13.8 Bosch Addresses Role of Compliance in Telehealth Adoption 5-52
5.13.9 Bosch North America Veterans Health Administration 5-52
5.13.10 Bosch / VRI 5-56
5.13.11 Robert Bosch Healthcare, Inc. has been selected by
Connections365 5-56
5.13.12 Bosch Group and Health Hero Network 5-58
5.14 Cardiocom 5-59
5.15 Care Innovations: Intel and GE 5-61
5.16 Columbia University’s Informatics for Diabetes
Education and Telemedicine 5-62
5.17 Connections365 5-62
5.18 Continua 5-63
5.19 Debiotech 5-65
5.20 Evident Health Services 5-66
5.20.1 Evident Health Services (EHS) 5-68
5.21 FuzeBox 5-69
5.22 Gemalto / Cinterion 5-71
5.22.1 Cinterion 5-71
5.22.2 Gemalto / Cinterion 5-72
5.22.3 Gemalto / CINTERION Active Member Of The Continua Alliance 5-76
5.22.4 Gemalto / Cinterion Mobile Health - M2M Telemonitoring 5-77
5.23 Home Healthcare Hospice and Community Services (HCS) 5-78
5.23.1 Home Healthcare Partners (HHP) 5-79
5.24 Honeywell 5-80
5.24.1 Honeywell HomMed: 5-80
5.24.2 Honeywell Genesis Telehealth Monitors and
LifeStreamâ„¢ Management Suite 5-81
5.24.3 Honeywell HomeMed Health Monitoring System 5-83
5.24.4 Honeywell HomeMed Health Monitoring System:
Health Visiting Nurses Association (VNA) 5-83
5.24.5 Honeywell Reports Second Quarter 2011 Sales
Up 15% to $9.1 Billion 5-84
5.25 Infopia 5-85
5.25.1 Infopia of Korea 5-85
5.26 Johns Hopkins Launch Home Telemonitoring
Education Initiative 5-86
5.27 JSC CEM Technology 5-87
5.28 Kiwok 5-90
5.29 LG 5-91
5.29.1 LG Telemonitoring Smartcare System 5-91
5.30 LifeMasters 5-92
5.31 Logitech 5-92
5.31.1 LifeSize Telepresence 5-94
5.31.2 Logitech Revenue Net Sales By Operating Segment 5-94
5.31.3 Logitech Sales of PC Peripherals In Mature Markets
Expected to Decline 5-97
5.31.4 Logitech LifeSize 5-98
5.31.5 Logitech Digital Home Category 5-99
5.31.6 Logitech Sales of OEM Mice And Keyboards 5-99
5.31.7 Logitech Net Sales by Channel 5-100
5.31.8 Logitech Segment Revenue 5-100
5.31.9 Logitech LifeSize 5-101
5.31.10 Logitech LifeSize UVC Video Conferencing Infrastructure
Platform 5-102
5.32 McKesson 5-104
5.32.1 McKesson Telehospice Technology 5-105
5.32.2 McKesson / Caris Healthcare 5-107
5.33 MedApps 5-108
5.33.1 MedApps Healthpal 5-109
5.33.2 VRI Selects MedApps HealthPAL MA105to Extend the Home 5-109
5.33.3 MedApps Comprehensive Health Information
Management Platform 5-111
5.33.4 MedApps' Value Proposition 5-113
5.34 Medtronic 5-114
5.35 Montefiore / CMO, the Care Management Company 5-117
5.35.1 CMO, The Care Management Company 5-118
5.36 National Committee for Quality Assurance 5-119
5.37 Nonin Medical, Inc. 5-119
5.37.1 Nonin Medical AB 5-120
5.38 Partners Healthcare 5-121
5.38.1 Partners HealthCare Focus Areas: 5-122
5.38.2 Partners Healthcare Digital Care Delivery 5-123
5.38.3 Partners Healthcare Patient Segmentation 5-123
5.38.4 Partners Healthcare Research and Evaluation Team 5-124
5.38.5 Partners Healthcare Sample Recent Telemonitoring Projects 5-126
5.38.6 Programs In Heart Failure, Hypertension,
Diabetes And Other Chronic Conditions 5-126
5.38.7 Partners Healthcare Center for Connected Health 5-128
5.39 Philips 5-129
5.39.1 Phiips Visicu 5-129
5.39.2 Philips Addresses Healthcare Landscape 5-131
5.39.3 Philips/Respironics Monitoring Solution Powered By
Cinterion TC65i: 5-134
5.39.4 Philips Sales 5-135
5.39.5 Philips Healthcare 5-135
5.39.6 Royal Philips Revenue 5-138
5.39.7 Royal Philips Electronics / Respironics 5-145
5.39.8 Philips Respironics 5-146
5.39.9 Philips Respironics 5-149
5.40 ProConnections, Inc. 5-152
5.41 REACH Health, Inc. 5-152
5.41.1 REACH HealthInc Comprehensive Telemedicine Solution 5-153
5.41.2 REACH Comprehensive Solutions 5-154
5.41.3 REACH Health Telemedicine 5-156
5.41.4 Reach Customers 5-156
5.42 RS TechMedic BV 5-156
5.43 Samsung 5-157
5.43.1 2012 Samsung Predicts Global Economic Slowdown 5-159
5.43.2 Samsung Medical Business 5-161
5.44 Sandata Technologies, Inc. 5-161
5.45 STMicroelectronics 5-161
5.45.1 Debiotech and STMicroelectronics 5-162
5.46 TeleAtricsâ„¢ 5-163
5.47 Trifecta Technologies 5-165
5.48 TouchPointCare 5-165
5.48.1 TouchPointCare Strategic Position 5-167
5.48.2 Touch Point Care / Visiting Angels 5-167
5.48.3 Loyola Medical Center 5-168
5.48.4 LHC Group 5-168
5.48.5 Lexington Health Care 5-168
5.48.6 KSB Home Health 5-169
5.48.7 Home Care Health Services 5-169
5.48.8 Health Contact Partners - Wheeling, IL 5-170
5.48.9 Glaxo Smith Kline 5-170
5.48.10 Family Home Care 5-170
5.48.11 Aurora Health Care 5-171
5.48.12 Anderson Hospital Home Health Care 5-171
5.48.13 Almost Family/Caretenders 5-171
5.48.14 Advocate Home Health 5-172
5.49 Tunstall Healthcare Group 5-172
5.49.1 AMAC American Medical Alert Corp. 5-173
5.49.2 American Medical Alert Call Center Centric Solutions 5-174
5.49.3 AMAC Health and Safety Monitoring Systems (HSMS) 5-175
5.49.4 AMAC Personal Emergency Response Systems (PERS) 5-175
5.49.5 AMAC / Lifecomm 5-176
5.49.6 Visiting Nurse Service of New York and AMAC
Contract for Provision of Home Monitoring Emergency
Response System 5-177
5.49.7 AMAC Telehealth Systems 5-177
5.49.8 AMAC Call Centers 5-178
5.49.9 AMAC Revenue 5-179
5.49.10 AMAC Telehealth systems 5-179
5.49.11 AMAC After Hours Answering Services 5-180
5.49.12 AMAC / Intel® Health Guide 5-180
5.50 University of Houston 5-183
5.51 Verizon Technologies 5-184
5.51.1 Verizon In The Wireless Market 5-185
5.51.2 Verizon Operates Advanced Broadband Backbone Networks 5-185
5.51.3 Verizon Owns And Operates Much Of The Infrastructure That Comprises The Internet 5-186
5.52 Veteran’s Administration (VA) 5-186
5.53 VIDAVO S.A 5-187
5.54 Virtual Health 5-188
5.55 Vodafone 5-188
5.1.1 Vodafone Cloud Features: 5-189
5.56 VRI 5-191
5.56.1 VRI Digi Pal 5-192
5.56.2 VRI partnership with Robert Bosch Healthcare 5-192
5.56.3 VRI Digi Pal 5-194
5.56.4 VRI 5-196
5.57 Windstream 5-196
5.58 Selected Providers for Emergency Medical Care Monitoring 5-197


List of Tables and Figures

Telemedicine Executive Summary

Table ES-1 ES-2
Factors Likely To Create Shift To Telemedicine
Table ES-2 ES-4
Telemedicine Adoption Rate Issues And Concerns
Figure ES-3 ES-4
Telemedicine Market Factors
Figure ES-4 ES-5
Aging of the Population, 600 Million Elderly Individuals World Wide
Figure ES-5 ES-6
Telemedicine Challenge: One Billion Adults Over
Weight, 86 Million Individuals with Chronic Conditions
Figure ES-6 ES-7
Telemedicine Goal: Improve Lifestyle Choices
Table ES-7 ES-9
Telemonitoring Market Driving Forces
Table ES-8 ES-12
Tele-Monitoring Critical Issues Addressed
Table ES-9 ES-13
Tele-Monitoring Clinical Results
Table ES-10 ES-13
Tele Health Monitoring Problem Solution Aspects
Table ES-11 ES-15
Telemedicine Market Shares, Dollars, Worldwide, 2011
Figure ES-12 ES-16
TeleMonitor Software Market Forecasts, Dollars,
Worldwide, 2012-2018

Telemedicine Market Description and Market Dynamics

Figure 1-1 1-1
Remote Monitoring as Standard of Care
Table 1-2 1-8
Telemedicine Nursing Stations Typical Telemonitoring Questions
Table 1-3 1-10
Remote Patient Monitoring Device Uses
Table 1-4 1-11
Clinical Assessment and Response to Alert Provided by Telemonitor
o TABLE 1-4 (Continued) 1-12
Clinical Assessment And Response To Alert Provided By
Telemonitor
TABLE 1-5 1-13
Clinical Assessment And Actions Taken To Alert Provided By
Telemonitor
Table 1-6 1-16
Telehealth Solutions Benefits
Table 1-7 1-18
Monitoring Used To Take Measurements In Homecare Settings
Table 1-8 1-19
Monitoring Measurement Functions In Homecare Settings
Table 1-9 1-27
Bosch Recommendations for Innovation Funded By The VA
Table 1-10 1-29
Intel Health Guide Functions
Table 1-11 1-30
Intel® Health Care Management Suite of Software Tools
Table 1-11 1-34
NEJM Letters That Critique The Telemonitoring Study
Table 1-12 1-38
Physician Notification on CHF Using “SBAR”
Table 1-13 1-42
US Healthcare Coverage Legislation Functions
Table 1-14 1-48
FDA Enforcement Actions And Remedies
Table 1-15 1-51
HIPAA Information Covered entities
Table 1-16 1-52
HIPAA Information That Needs to Be Private
Table 1-17 1-53
HIPAA Information Sharing by Health Care Providers
Table 1-18 1-54
HIPAA Information Sharing Prohibitions
Table 1-19 1-55
HIPAA Information Managed via Court Order

Figure 1-20 1-57
HIPAA Privacy and Security Rule and Compliant Process

Telemedicine Market Shares and Market Forecasts

Table 2-1 2-2
Factors Likely To Create Shift To Telemedicine
Table 2-2 2-4
Telemedicine Adoption Rate Issues And Concerns
Figure 2-3 2-4
Telemedicine Market Factors
Figure 2-4 2-5
Aging of the Population, 600 Million Elderly Individuals
World Wide
Figure 2-5 2-6
Telemedicine Challenge: One Billion Adults Over Weight, 86
Million Individuals with Chronic Conditions
Figure 2-6 2-7
Telemedicine Goal: Improve Lifestyle Choices
Table 2-7 2-9
Telemonitoring Market Driving Forces
Table 2-8 2-10
Tele-Monitoring Critical Issues Addressed
Table 2-9 2-12
Tele-Monitoring Clinical Results

Table 2-10 2-13
Tele Health Monitoring Problem Solution Aspects
Table 2-11 2-15
Telemedicine Market Shares, Dollars, Worldwide, 2011
Table 2-12 2-16
Telemedicine Market Shares, Dollars, Worldwide, 2011
Table 2-13 3-29
Gemalto CINTERION Wireless Module Functions
Figure 2-14 2-30
TeleMonitor Software Market Forecasts, Dollars,
Worldwide, 2012-2018
Table 2-15 2’33
Telemedicine Device and Software Market Forecasts,
Units and Dollars, Worldwide, 2012-2018
Figure 2-16 2-36
Congestive Heart Failure (CHF) Patients Worldwide,
Forecasts, Number, 2012-2018
Figure 2-17 2-38
Diabetes Patients Worldwide, Forecasts, Number, 2012-2018
Table 2-18 2-39
Number of Patients with Disease Conditions Requiring
Wheelchairs, By Diagnosis, Number, Worldwide, 2012-2018
Figure 2-19 2-48
Follow Up Link Increases Exponentially In Europe
Table 2-20 2-48
Tele-Monitoring Program Benefits
Table 2-21 2-52
Tele-Monitoring Alarm Devices
Figure 2-22 2-53
Tele-Monitor Regional Market Segments, 2011
Table 2-23 2-54
Telemedicine Regional Market Segments, 2011

Telemedicine Product Description

Figure 3-1 3-4
Bosch Health Buddy System
Table 3-2 3-5
Bosch Health Buddy system Components
Figure 3-3 3-6
Bosch Health Buddy Decision Support Dashboard and Heat Map
Table 3-4 3-7
Bosch Healthcare Telehealth Solution
Figure 3-5 3-9
Bosch Health Buddy System
Table 3-6 3-10
Bosch Health Buddy System Patient Uses for Custom Messaging
Figure 3-7 3-11
Bosch VitelCareâ„¢ T400 Home Health Monitor
Figure 3-8 3-12
Bosch Decision Support
Table 3-9 3-13
Bosch ViTelCare Functions
Table 3-10 3-16
McKesson / Bosch Telehealth Advisor Benefits
Table 3-11 3-17
McKesson / Bosch Telehealth Advisor Features
Table 3-12 3-18
Bayer / Viterion TeleHealthcare UK Department of
Health (DOH) Initial Findings from Whole System
Demonstrator (WSD) Program
Figure 3-13 3-21
Viterion 200
Table 3-14 3-22
Viterion TeleHealth Monitor Measurement Of Vital Signs:
Figure 3-15 3-24
Viterion 100
Table 3-16 3-25
ViterionNET Administrator Features:
Figure 3-17 3-26
Viterion Monitor
Table 3-18 3-27
ViterionNET Healthcare Provider Features:
Table 3-19 3-31
Viterion Telemonitoring Study Parameters:
Table 3-20 3-32
Viterion Telemonitoring Study Statisti

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