Telemedicine: Opportunities for Medical and Electronic Providers

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Telemedicine: Opportunities for Medical and Electronic Providers

Telemedicine: Opportunities for Medical and Electronic Providers

Report price : $ 4 850
Publication date : December 2007

Telemedicine: Opportunities for Medical and Electronic Providers

This report contains: Descriptions of various telemedicine technologies including hardware, software, telecom and network applications; The current market status for telemedicine, trends and forecasts for growth over the next 5 years; Discussion of cutting edge technology development, value-added services, and newer applications; Thorough analyses of 91 patents; Information about industry players, their strategic directives, product portfolios, and operational presence.

INTRODUCTION STUDY GOALS AND OBJECTIVES REASONS FOR THE STUDY INTENDED AUDIENCE SCOPE AND FORMAT METHODOLOGY AND INFORMATION SOURCES ANALYSTS CREDENTIALS RELATED BCC PUBLICATIONS BCC ONLINE SERVICES DISCLAIMER

SUMMARY

SUMMARY TABLE GLOBAL TELEHOME AND TELEHOSPITAL

MARKET FORECAST THROUGH 2012 ($ MILLIONS)*

SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL

MARKET FORECAST 2005-2012 ($ MILLIONS)*

TELEMEDICINE OVERVIEW DEFINITION OF TELEMEDICINE AND E-HEALTH

FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK

H1, H2, H3 — HOSPITALS

KEY PLAYING FIELDS IN TELEMEDICINE

FIGURE 2 WINNING IMPERATIVES FOR TELEMEDICINE (TELEHOME CARE, TELEHOSPITAL B2B, TELEHOSPITAL B2C)

MARKET DRIVERS

FIGURE 3 TELEMEDICINE MARKET DRIVERS

CHANGING HEALTH CARE PARADIGM — INEVITABLE

NEED FOR TELEMEDICINE

FIGURE 4 TELEMEDICINE — KEY TO E-HEALTH CARE

Changing Health Care Paradigm…(Continued)

NEED FOR BETTER CLINICAL OUTCOMES

GROWING INVESTMENTS INTO TELEMEDICINE

TELEMEDICINE DRIVEN BY RISING E-HEALTH CARE

MARKET

INCREASING FOCUS OF COMPANIES ON TELEMEDICINE

AS A KEY MARKET DIFFERENTIATOR

IMPROVED TECHNOLOGY INFRASTRUCTURE SPURRING

GROWTH IN TELEMEDICINE

ENTRY OF TIER I PLAYERS EXPANDING MARKET SCOPE

CENTRALIZED EHR/EMR IS DRIVING NEED FOR

TELEMEDICINE

INCREASING ACCEPTANCE OF TELEMEDICINE BY

PATIENTS

FIGURE 5 INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS

KEY CHALLENGES

FIGURE 6 MAJOR CHALLENGES FACED BY TELEMEDICINE PROGRAMS (%)*

FIGURE 7 CHALLENGES IN TELEMEDICINE — ECONOMICS VS. CLINICAL OUTCOME

TECHNICAL

FINANCIAL

Companies Afraid of Lower Returns from Telemedicine

No Clear Reimbursement Policies for Telemedicine

Lack of Funding of Telemedicine Programs

OPERATIONAL AND SOCIAL

Lack of Training

Low Awareness and Market Penetration

REGULATORY

TELEMEDICINE — MOVING UP IN THE VALUE CHAIN

FIGURE 8 TELEMEDICINE - MOVING UP IN THE VALUE CHAIN

TELEMEDICINE MARKET STRUCTURE OVERVIEW

FIGURE 9 TELEMEDICINE MARKET STRUCTURE

Global Telehome and Telehospital/Clinics Market

TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET FORECAST THROUGH 2012 ($ MILLIONS)*

Global Telemedicine Market Forecast — By Geography

TABLE 2 TELEMEDICINE MARKET FORECAST BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

Global Telehome Market — By Geography

TABLE 3 GLOBAL TELEHOME MARKET FORECAST BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

Global Telehospital/Clinics Market — By Geography

TABLE 4 GLOBAL TELEHOSPITAL/CLINICS MARKET FORECAST BY GEOPGRAPHY, THROUGH 2012 ($ MILLIONS)* MARKET FORECAST, 2006 AND 2012 ($ MILLIONS)

TELEMEDICINE — HARDWARE, SOFTWARE, AND SERVICES

TABLE 5 TELEMEDICINE HARDWARE, SOFTWARE, AND SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

FIGURE 11 TELEMEDICINE SERVICE MARKET

TELEMEDICINE APPLICATIONS

FIGURE 12 TELEMEDICINE APPLICATION MARKET

TELEMEDICINE STAKEHOLDERS

FIGURE 13 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE

MARKET DYNAMICS

FIGURE 14 CASH COWS IN TELEMEDICINE

AVENUES IN TELEMEDICINE TECHNOLOGY

FIGURE 15 TELEMEDICINE TECHNOLOGY APPLICATIONS

BENCHMARKING GLOBAL TELEMEDICINE PROGRAMS — BY TECHNOLOGY

TABLE 6 REAL TIME VIDEOCONFERENCING & STORE AND FORWARD TECHNOLOGY IN TELEMEDICINE PROGRAMS*

TRENDS IN TELEMEDICINE TECHNOLOGY

FIGURE 16 MAPPING THE TECHNOLOGY VALUE CHAIN OF TELEMEDICINE

INTEGRATED TELEMEDICINE — TOP OF THE VALUE CHAIN

FIGURE 17 INTEGRATED TELEMEDICINE MODEL

Complex Networks Demanding Standardization Across

Integrated Telemedicine

Open-End Technology — Key to Integrated Medicine

MOVING TOWARDS MORE RELIABLE AND EFFECTIVE

TELEMEDICINE TECHNOLOGIES

Factors Affecting Reliability of Telemedicine

Clinician Experience in Telemedicine

Imaging

Dermatology Applications

Audio Signals

LARGER USE OF IP-BASED CONVERGED NETWORKS IN

TELEMEDICINE

OPTING FOR WEB- AND WIRELESS-BASED DISTRIBUTION

USE OF BOTH MULTIPURPOSE AND THERAPY-BASED

EQUIPMENT

LOWERING COST OF TELEMEDICINE

INCREASING SPEED AND RELIABILITY OF DATA

TRANSFER

INCREASED USE OF WIRELESS TECHNOLOGIES IN

TELEMEDICINE

VENDORS PREFER TO LEASE TELEMEDICINE

EQUIPMENT

LAUNCHING MORE USER-FRIENDLY TECHNOLOGY

USING MORE COMPUTER-BASED DIAGNOSIS

TELEMEDICINE TECHNOLOGY MARKET OVERVIEW

GLOBAL TELEMEDICINE TECHNOLOGY — HARDWARE,

SOFTWARE AND TELECOM MARKET OVERVIEW

TABLE 7 GLOBAL TELEMEDICINE TECHNOLOGY MARKET THROUGH 2012 ($ MILLIONS)

TABLE 8 TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET FORECAST THROUGH 2012 ($ MILLIONS)*

Telehome Technology Market — By Geography

TABLE 9 TELEHOME TECHNOLOGY MARKET BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

Telehospital Technology Market — By Geography

TABLE 10 TELEHOSPITAL TECHNOLOGY MARKET FORECAST BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

HARDWARE

Telemedicine Hardware Market Overview

Telemedicine Hardware Market - By Geography

TABLE 11 TELEMEDICINE HARDWARE MARKET BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

TABLE 12 HARDWARE MARKET BY TELEHOME AND TELEHOSPITAL THROUGH 2012 ($ MILLIONS)*

TABLE 13 NUMBER OF TELEMEDICINE PROGRAMS BY TECHNOLOGY*

Home Care Hardware Market

FIGURE 18 TELEMEDICINE HOME CARE UNITS (PERIPHERALS)

Telehome Care Units Market Overview

TABLE 14 TELEHOME HARDWARE MARKET BY GEOGRAPHY, THROUGH 2012 ($ MILLIONS)

Telehome Hardware Units Market

TABLE 15 TELEHOME HARDWARE UNITS MARKET, THROUGH 2012 (UNITS)

Home Care Units -—Market Share

FIGURE 19 HOME CARE UNIT MARKET SHARE IN TELEMEDICINE PROGRAMS* (%)

Benchmarking Home Care Units

TABLE 16 BENCHMARKING HOME CARE UNITS

Benchmarking Home Care Units- By Clinical

Applications

TABLE 17 TELEMEDICINE VENDORS — CLINICAL APPLICATIONS

Benchmarking Home Care Units — By Network

Connectivity

TABLE 18 EQUIPMENT MANUFACTURERS BENCHMARKING

TABLE 18 (CONTINUED)

TABLE 19 HOME CARE UNITS DESCRIPTION — BY VENDORS

Telehospital/Clinics Hardware Market Overview

Telehospital/Clinics Hardware Market - By

Geography

TABLE 20 TELEHOSPITAL/CLINICS HARDWARE GEOGRAPHIC MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

Hardware Units for Telehospital/Clinics

Telehospital Hardware Units Market by

Category

TABLE 21 GLOBAL TELEHOSPITAL/CLINICS HARDWARE UNITS FORECAST THROUGH 2012 (UNITS)

Videoconferencing

Telehospital/Clinics — Videoconferencing

Hardware Market Overview

TABLE 22 DESKTOP SETUP COST

Videoconferencing Units — Market

FIGURE 20 ROOM-BASED VIDEOCONFERENCE MARKET SHARE IN TELEMEDICINE PROGRAMS* (%)

FIGURE 21 MARKET SHARE OF ROLL ABOUT VIDEOCONFERENCE UNITS IN TELEMEDICINE PROGRAMS* (%)

FIGURE 22 DESKTOP, LAPTOP, AND SET-TOP COMPUTER UNITS MARKET SHARE IN TELEMEDICINE PROGRAMS* (%)

FIGURE 23 VIDEO PHONE MARKET SHARE IN TELEMEDICINE PROGRAM* (%)

Benchmarking Videoconferencing — By

Vendors

TABLE 23 VIDEOCONFERENCING PRODUCT DESCRIPTION — BY VENDORS

TABLE 23 (CONTINUED)

TABLE 24 BENCHAMRARKING VIDEOCONFERENCING VENDORS BY CLINICAL APPLICATIONS

TABLE 25 CASE STUDIES

Store and Forward Market Overview

Teleimaging Equipment

Teleimaging Equipment — Market

FIGURE 24 TELEIMAGING EQUIPMENT MARKET SHARE IN TELEMEDICINE PROGRAMS* (%)

Benchmarking PACS Products — By

Vendors

TABLE 26 BENCHMARKING PACS PRODUCTS BY VENDORS

Benchmarking Teleimaging Units — By Network Connectivity

TABLE 27 BENCHMARKING PACS VENDORS BY TECHNOLOGY FEATURES

Telepathological Equipment

FIGURE 25 TELEPATHOLOGICAL EQUIPMENT IN TELEMEDICINE PROGRAMS* (%)

SOFTWARE

Telemedicine Software Market Overview

TABLE 28 TELEMEDICINE SOFTWARE MARKET FORECAST (TELEHOME AND TELEHOSPITAL/CLINICS), THROUGH 2012 ($ MILLIONS)

Telemedicine Software Market — By Geography

TABLE 29 TELEMEDICINE SOFTWARE GEOGRAPHIC MARKET FORECAST THROUGH 2012 ($ MILLIONS)

Telehome Software Market — By Geography

TABLE 30 TELEHOME SOFTWARE GEOGRAPHIC MARKET FORECAST THROUGH 2012 ($ MILLIONS)

Telehospital/Clinics Software Market — By

Geography

TABLE 31 TELEHOSPITAL/CLINICS SOFTWARE MARKET FORECAST BY GEOGRAPHY, THROUGH 2012 ($ MILLIONS)

Companies Keen to Integrate Telemedicine

with Centralized Health Information

Management

Integrated Front End and Back End

Technologies

Open-End Technology Will Lead

Benchmarking Telemedicine Software Companies

TABLE 32 SOFTWARE VENDORS BENCHMARKING: COMPREHENSIVE

TABLE 32 (CONTINUED)

Telemedicine Software- Case Studies

TABLE 33 E-PRESCRIPTION CASE STUDIES

TABLE 33 (CONTINUED)

TELECOM AND NETWORKING

Telecom and Networking (T&N) Market Overview

TABLE 34 TELEMEDICINE TELECOM & NETWORKING (TELEHOME AND TELEHOSPITAL/CLINICS) MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

Telecom and Networking Market — By Geography

TABLE 35 T&N GEOGRAPHIC MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

Telehome T&N Market — By Geography

TABLE 36 TELEHOME T&N GEOGRAPHIC MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

Telehospital/Clinics T&N Market — By Geography

TABLE 37 TELEHOSPITAL/CLINICS T&N GEOGRAPHIC MARKET FORECAST THROUGH 2012 ($ MILLIONS)

Benchmarking Telecom and Networking Companies

FIGURE 26 NUMBER OF TELEMEDICINE PROGRAMS AND TELECOMMUNICATION PROVIDERS*

TABLE 38 BENCHMARKING T&N VENDORS BY SOLUTION AND TECHNOLOGY

Telecom and Networking — Case Studies

TABLE 39 NETWORKING TECHNOLOGY CASE STUDIES

TABLE 40 WIRELESS TECHNOLOGY CASE STUDIES

TABLE 41 MOBILE TECHNOLOGY CASE STUDIES

TELEMEDICINE PATENT ANALYSIS

GENERAL TRENDS

FIGURE 27 NUMBER OF U.S. TELEMEDICINE PATENTS, 2002-2007

TRENDS BY TECHNOLOGY

FIGURE 28 U.S. PATENTS BY TECHNOLOGY FROM, 2002-2007 (%)

Trends by Technology…(Continued)

TELEMEDICINE APPLICATIONS

FIGURE 29 TELEMEDICINE APPLICATIONS — MARKET SIZE VS. PENETRATION

TELEMEDICINE APPLICATIONS OVERVIEW

FIGURE 30 TELEMEDICINE APPLICATIONS OVERVIEW

TELEMEDICINE APPLICATION MARKET OVERVIEW

TABLE 42 GLOBAL TELEHOSPITAL/CLINICS (STORE & FORWARD AND VIDEOCONFERENCING) MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

FIGURE 31 GLOBAL TELEHOSPITAL/CLINICS (STORE & FORWARD AND VIDEOCONFERENCING) MARKET FORECAST, 2005-2012 ($ MILLIONS)

TELEHOSPITAL/CLINICS STORE AND FORWARD

TECHNOLOGY MARKET — BY GEOGRAPHY

TABLE 43 TELEHOSPITAL/CLINICS STORE AND FORWARD TECHNOLOGY MARKET FORECAST BY GEOGRAPHY, THROUGH 2012 ($ MILLIONS)

TELEHOSPITAL/CLINICS VIDEOCONFERENCING

TECHNOLOGY MARKET — BY GEOGRAPHY

TABLE 44 TELEHOSPITAL/CLINICS VIDEOCONFERENCING TECHNOLOGY MARKET FORECAST BY GEOGRAPHY, THROUGH 2012 ($ MILLIONS)

TABLE 45 GLOBAL TELEHOSPITAL/CLINICS STORE AND FORWARD MARKET FORECAST BY APPLICATION, THROUGH 2012 ($ MILLIONS)

TABLE 46 GLOBAL FORECAST FOR TELEHOSPITAL/CLINICS REAL TIME VIDEOCONFERENCING MARKET BY APPLICATION, THROUGH 2012 ($ MILLIONS)

TELECARDIOLOGY

TELECARDIOLOGY MARKET OVERVIEW

TABLE 47 GLOBAL TELEHOSPITAL/CLINICS TELECARDIOLOGY MARKET FORECAST FOR STORE & FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2012 ($ MILLIONS)

FIGURE 32 GLOBAL TELEHOSPITAL/CLINICS TELECARDIOLOGY MARKET FORECAST FOR STORE & FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2005 AND 2012 ($ MILLIONS)

Telecardiology- Store and Forward Market Overview

TABLE 48 GLOBAL TELEHOSPITAL/CLINICS STORE AND FORWARD — CARDIOLOGY — UNITS FORECAST, THROUGH 2012

TABLE 49 GLOBAL TELEHOSPITAL/CLINICS STORE AND FORWARD —CARDIOLOGY (TECH AND SERVICE) MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

FIGURE 33 GLOBAL TELEHOSPITAL/CLINICS STORE AND FORWARD — CARDIOLOGY TECHNLOGY AND SERVICE MARKET FORECAST 2006 AND 2012 ($ MILLIONS)

Telecardiology — Videoconferencing Market Overview

TABLE 50 GLOBAL TELEHOSPITAL VIDEOCONFERENCING — CARDIOLOGY — UNITS MARKET FORECAST, THROUGH 2012

TABLE 51 GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR CARDIOLOGY TECHNOLOGY AND SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

MARKET DRIVERS FOR TELECARDIOLOGY

Health Care Services Using Telecardiology for Early

Detection of Abnormalities

Hospitals Outsourcing Cardiology Image Management to

Specialists

Cardiac Patients Experience Higher Comfort Level with

Telecardiology

Larger Number of Cardiac Patients will be Monitored

Remotely

KEY TRENDS IN TELECARDIOLOGY

Telecardiology Usage for Pediatric Cardiology

Remote Monitoring and Post Acute Care for

Telecardiology

Supporting Image Handling in Telecardiology

Supporting ECG Transmission in Telecardiology

Increasing Use of Web-Based Interface for Telecardiology

Mobile Emergency Services Opting for Telecardiology

Telecardiology Case Studies

TABLE 52 TELECARDIOLOGY CASE STUDIES

TELERADIOLOGY

TELERADIOLOGY MARKET OVERVIEW

TABLE 53 GLOBAL FORECAST FOR TELEHOSPITAL STORE AND FORWARD — RADIOLOGY UNITS FORECAST, THROUGH 2012

TABLE 54 GLOBAL FORECAST FOR TELEHOSPITAL STORE AND FORWARD — RADIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH 2012 ($ MILLIONS)

24 Hour Services by Teleradiology Companies

FIGURE 34 GLOBAL TELEHOSPITAL STORE AND FORWARD — RADIOLOGY TECHNOLOGY AND SERVICE MARKET FORECAST, 2006 AND 2012 ($ MILLIONS)

Development of Subspecialty Centers

Use of Filmless Imaging

Dartmouth Develops Low-Bandwidth Telesonography

System

New Teleradiology Solution by Philips to Assist in

Detection of Lung Lesions

Teleradiology Case Studies

TABLE 55 TELERADIOLOGY CASE STUDIES

TELEPATHOLOGY

TELEPATHOLOGY MARKET OVERVIEW

TABLE 56 GLOBAL TELEHOSPITAL STORE AND FORWARD—PATHOLOGY- UNITS FORECAST, THROUGH 2012

TABLE 57 GLOBAL TELEHOSPITAL STORE AND FORWARD — PATHOLOGY TECHNOLOGY AND SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

FIGURE 35 GLOBAL TELEHOSPITAL STORE AND FORWARD — PATHOLOGY TECHNOLOGY AND SERVICE MARKET, 2006 AND 2012 ($ MILLIONS)

Telepathology Helps Laboratories to Increase Revenues

by Leveraging Mutual Global Partnerships

Hospitals Reducing Pathological Cost and Increasing

Promptness by Using Hybrid Systems

Ultrarapid Virtual Slide Processor and DIT Improving

Telepathology Effectiveness

Telepathology Case Studies

TABLE 58 TELEPATHOLOGY CASE STUDIES

TABLE 58 (CONTINUED)

TELEPSYCHIATRY

TELEPSYCHIATRY MARKET OVERVIEW

TABLE 59 GLOBAL TELEHOSPITAL VIDEOCONFERENCINGPSYCHIATRY — UNITS FORECAST, THROUGH 2012

TABLE 60 GLOBAL FORECAST FOR TELEHOSPITAL VIDEOCONFERENCING PSYCHIATRY (TECHNOLOGY AND SERVICE) MARKET, THROUGH 2012 ($ MILLIONS)

FIGURE 36 GLOBAL TELEHOSPITAL VIDEOCONFERENCING PSYCHIATRY (TECHNOLOGY AND SERVICE) MARKET FORECAST, 2006 AND 2012 ($ MILLIONS)

TABLE 61 TELEPSYCHIATRY CASE STUDIES

DERMATOLOGY

DERMATOLOGY MARKET OVERVIEW

TABLE 62 GLOBAL TELEHOSPITAL STORE AND FORWARD DERMATOLOGY — UNITS FORECAST, THROUGH 2012

TABLE 63 GLOBAL TELEHOSPITAL DERMATOLOGY TECHNOLOGY AND SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

HOSPITALS-URBAN AND RURAL APPLICATIONS

FIGURE 37 TELEHOSPITAL VIDEOCONFERENCING (URBAN AND RURAL) MARKET, 2006 AND 2012 ($ MILLIONS)

AVENUES IN TELEMEDICINE SERVICES TELEMEDICINE SERVICE MARKET OVERVIEW

TABLE 64 TELEMEDICINE SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

AVENUES IN TELEMEDICINE MANAGED SERVICES

Telemedicine Facility Management Services

Telemedicine Services Supporting E-health

Telemedicine Services Supporting Home Care

Ready to Use Interoperable Telemedicine Network

Services for All Telemedicine Stakeholders

Telemedicine Virtual Network Providers Services

Mobile Emergency Services

Telemedicine — Important Interface between Primary

and Secondary Care

Primary Care Kiosk-based Services Supporting

Telemedicine

Telenursing Services

24/7 Telemedicine Call Center Services

TABLE 65 CALL CENTER CASE STUDIES

Supporting Outsourced Medical Services

Telemedicine Services for Disease Management

Telemedicine Managed Services for Rural Areas

Telemedicine Services Supporting Telehealth Education

Telemedicine Based Niche Services

AVENUES IN TELEHOME SERVICES

FIGURE 38 TELEHOME SERVICES — MOVING UP IN THE VALUE CHAIN

Telehome Services Market Overview

AVENUES IN TELEHOSPITAL

FIGURE 39 TELEHOSPITAL — B2B AND B2C SERVICES

Telehospital Services Market Overview

TABLE 66 GLOBAL TELEHOSPITAL/CLINICS STORE AND FORWARD AND REAL TIME VIDEOCONFERECING SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

TABLE 67 GLOBAL TELEHOSPITAL STORE AND FORWARD (RADIOLOGY, CARDIOLOGY, DERMATOLOGY, PATHOLOGY, OTHERS) SERVICE MARKET FORECAST, THROUGH 2012 ($ MILLIONS)

TABLE 68 GLOBAL TELEHOSPITAL/CLINICS CARDIOLOGY, PSYCHIATRY AND URBAN AND RURAL THROUGH 2012 ($ MILLIONS)

FIGURE 40 VALUE CHAIN- HOSPITALS

Benchmarking Telehospital Services — By Hospitals

TABLE 69 BENCHMARKING HOSPITALS BY TELEMEDICINE SERVICES

TABLE 70 REMOTE ICU CASE STUDIES

ECONOMICS OF TELEMEDICINE ECONOMICS OF TELEMEDICINE

FIGURE 41 OVERVIEW OF TELEMEDICINE REVENUE MODELS

NEW BUSINESS MODELS OF TELEMEDICINE

FIGURE 42 BUSINESS MODELS OF TELEMEDICINE

RISK AND REWARD SHARING MODEL

JOINT OPERATING MODEL

ORCHESTRATE MODEL

INTEGRATOR MODEL

SUBSCRIPTION-BASED SERVICE PROVIDER MODEL

PAY-AS-YOU-GO

SHARED MODEL

COST BENEFIT ANALYSIS

QUICK FACTS ON TELEMEDICINE

SAVINGS FROM REMOTE PATIENT MONITORING

REDUCED TRAVELING BY NURSES

TABLE 71 SAVINGS FROM TRAVELING COST OF NURSES

SAVINGS FROM REHOSPITALIZATION

TABLE 72 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST

CALL CENTER SAVINGS

COST COMPARISON — TELEMEDICINE AND NORMAL

CONSULATION

AVENUES INCREASING TOPLINE REVENUES OF THE

HOSPITAL

Added Specialist Billing

Added Remote Patients

Avoid Need of Rehospitalization in Rural Hospitals

TELEMEDICINE COST BENEFIT ANALYSIS — CASE

STUDIES

TABLE 73 COST BENEFIT ANALYSIS — CASE STUDIES

TABLE 73 (CONTINUED)

TELEMEDICINE — A COMPELLING BUSINESS CASE

GLOBAL HEALTH CARE HAS MAMMOTH SAVINGS BY TELEMEDICINE

HOME CARE MARKET ALL GOING FOR TELEMEDICINE

TELECOM COMPANIES LARGELY SEEING

TELEMEDICINE AS KEY MARKET DIFFERENTIATOR FOR THEMSELVES IN LONG RUN

E-HEALTH MARKET USING TELEMEDICINE AS THE PIVOTAL TECHNOLOGY

HIGHLIGHTING INVESMENTS IN TELEMEDICINE

TABLE 74 TELEMEDICINE INVESTMENTS BY GOVERNMENTS

TABLE 74 (CONTINUED)

TABLE 75 TELEMEDICINE INVESTMENT BY ASSOCIATIONS

TABLE 76 TELEMEDICINE INVESTMENT BY VENDORS

TABLE 77 TELEMEDICINE INVESTMENT BY HOSPITALS

TELEMEDICINE REIMBURSEMENTS OVERVIEW

TELEMEDICINE REIMBURSEMENTS …(CONTINUED)

STAKEHOLDERS — OPPORTUNITIES ANALYSIS TIER I PLAYERS TIER I PLAYERS CONSOLIDATING IN TELEMEDICINE MARKET TO WIN LION’S SHARE OF FUTURE EHEALTH CARE MARKET HEALTH CARE COMPANIES — HOSPITALS, INSURANCE COMPANIES, CLINICS, GPS, DISEASE MANAGEMENT COMPANIES Hospitals Will Use Telemedicine as a Key Differentiator Rural Hospitals Will Not Lose Revenues Annual Health Care Management Programs for Patients/Non-Patients/Family on Multiple Business Model Specialists, General Practitioners, and Health Care Companies from Developing (Low Cost) Countries Will See Larger Demand for Outsourced Medical Health Care Services Clinics/Primary Care Consultants Will See a Significant Benefit from Telemedicine towards Secondary Care Consultation Health Care Companies Are Viewing Telemedicine as a Tool to Cut Health Care Cost Physicians Getting Ready for E-visits Disease Management Companies Planning to Expand Telemedicine Network beyond U.S TELECOM AND NETWORK PLAYERS Telecom and Networking Companies Actively Participating in Delivering Telemedicine Services Globally Telecom Companies Supporting IP-Based High-Speed Data Transfer Networks Telecom Companies Partnering with Disease Management Companies TELEMEDICINE HARDWARE SUPPLIERS Sales of More Reliable Portable Telemedicine Equipment Capturing Multiple Clinical Signals Will Grow Integrated Telemedicine Is the Future of the Telemedicine Market Subscription-Based Model Will Lead Other Telemedicine Models Wireless Wearable Devices Will Find Increasing Application in Telemedicine Teleradiology, Telecardiology, Telepathology, and Telepsychiatry Will Be the Top Four Applications TELEMEDICINE SOFTWARE PROVIDERS Software Companies Support Integrated Telemedicine with Open-End Architecture TELEMEDICINE INTEGRATORS, TELEHOME, TELEHOSPITAL Telemedicine Integrators to Tap Families Ready to Spend for Convenience of Primary Health Care Telemedicine Plans for Multiple Distribution Channels

CONSOLIDATION

TABLE 78 MERGER AND ACQUISITION FOR FY, 2006-2007

TABLE 78 (CONTINUED)

PROFILES TELEMEDICINE HARDWARE SUPPLIERS AEROTEL MEDICAL SYSTEMS, LTD

TABLE 79 AEROTEL MEDICAL SYSTEMS, LTD. PRODUCT

PORTFOLIO

TABLE 79 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

CARDIOCOM

TABLE 80 CARDIOCOM PRODUCT PORTFOLIO

TABLE 80 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

IBM HEALTH CARE AND LIFE SCIENCE

TABLE 81 IBM HEALTH CARE AND LIFE SCIENCE PRODUCT PORTFOLIO

TABLE 81 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

INTOUCH TECHNOLOGIES

TABLE 82 INTOUCH TECHNOLOGIES PRODUCT PORTFOLIO

Strategy

MEDICAL INTERNATIONAL RESEARCH (MIR)

TABLE 83 MEDICAL INTERNATIONAL RESEARCH PRODUCT PORTFOLIO

Strategy

MEDTRONIC, INC.

TABLE 84 MEDTRONIC, INC. PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

SIEMENS

TABLE 85 SIEMENS PRODUCT PORTFOLIO

New products

Partnerships and Alliances

Strategy

ROCHE

TABLE 86 ROCHE PRODUCT PORTFOLIO

New Products

Strategy

TELEMEDICINE SOFTWARE PROVIDERS

ALLSCRIPTS

TABLE 87 ALLSCRIPTS PRODUCT PORTFOLIO

TABLE 87 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

AGFA HEALTHCARE

TABLE 88 AGFA HEALTHCARE PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

DIGITAL UNION

TABLE 89 DIGITAL UNION PRODUCT PORTFOLIO

TABLE 89 (CONTINUED)

Partnerships and Alliances

Strategy

ECLIPSYS

TABLE 90 ECLIPSYS PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

TABLE 91 HP PRODUCT TABLE

Partnerships and Alliances

Strategy

IMETRIKUS

TABLE 92 IMETRIKUS PRODUCT TABLE

New Products

Partnerships and Alliances

Strategy

MEDIC4ALL

TABLE 93 MEDIC4ALL PRODUCT TABLE

Partnerships and Alliances

Strategy

VAMSTEC

TABLE 94 VAMSTEC PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

WEBVMC

TABLE 95 WEBVMC PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

3M HEALTH INFORMATION SYSTEMS

TABLE 96 3M HEALTH INFORMATION SYSTEMS PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

VIDEOCONFERENCING COMPANIES

AETHRA

TABLE 97 AETHRA PRODUCT TABLE

New Products

Partnerships and Alliances

Strategy

DOCTORS TELEHEALTH NETWORK (DTN)

TABLE 98 DOCTORS TELEHEALTH NETWORK PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

EUROMED NETWORKS

TABLE 99 EUROMED NETWORKS PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

POLYCOM

TABLE 100 POLYCOM PRODUCT TABLE

TABLE 100 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

TANDBERG

TABLE 101 TANDBERG PRODUCT PORTFOLIO

Partnership and Alliances

Strategy

SONY

TABLE 102 SONY PRODUCT TABLE

Partnerships and Alliances

New Products

Strategy

VCON

TABLE 103 VCON PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

LIFESIZE COMMUNICATIONS

TABLE 104 LIFESIZE COMMUNICATIONS PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

TELECOMPLAYERS

ALCATEL-LUCENT

TABLE 105 ALCATEL-LUCENT PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

AT&T

TABLE 106 AT&T PRODUCT PORTFOLIO

New Products

Strategy

CISCO

TABLE 107 CISCO PRODUCT PORTFOLIO

TABLE 107 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

RTX HEALTHCARE

TABLE 108 RTX HEALTHCARE PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

VERIZON

TABLE 109 VERIZON PRODUCT PORTFOLIO

Strategy

TELEMEDICINE INTEGRATORS

AMD TELEMEDICINE, INC.

TABLE 110 AMD TELEMEDICINE, INC. PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

AMERICAN TELECARE, INC

TABLE 111 AMERICAN TELECARE, INC. PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

CARDGUARD

TABLE 112 CARDGUARD PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

CYBERNET MEDICAL CORPORATION

TABLE 113 CYBERNET MEDICAL CORPORATION PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

HEALTH HERO NETWORK

TABLE 114 HEALTH HERO NETWORK PRODUCT PORTFOLIO

TABLE 114 (CONTINUED)

New Products

Partnerships and Alliances

Strategy

HONEYWELL HOMMED

TABLE 115 HONEYWELL HOMEMED PRODUCT PORTFOLIO

TABLE 115 (CONTINUED)

New Products

Strategy

INFORMEDIX

TABLE 116 INFORMEDIX PRODUCT PORTFOLIO

Partnerships and Alliances

Strategy

SHL TELEMEDICINE, LTD

TABLE 117 SHL TELEMEDICINE, LTD. PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

VITERION TELEHEALTHCARE

TABLE 118 VITERION TELEHEALTHCARE PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

VITEL, INC.

TABLE 119 VITEL, INC. PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

ZYDACRON

TABLE 120 ZYDACRON PRODUCT PORTFOLIO

TABLE 120 (CONTINUED)

Partnerships and Alliances

Strategy

HOSPITALS

APOLLO HOSPITALS

TABLE 121 APOLLO TELEMEDICINE SERVICES

TABLE 122 APOLLO TECHNOLOGY AND NETWORK

TABLE 123 APOLLO TELEMEDICINE PROGRAMS

Partnerships and Alliances

Strategy

BRIGHAM AND WOMEN'S HOSPITAL, BOSTON

TABLE 124 BRIGHAM AND WOMEN'S HOSPITAL TELEMEDICINE SERVICES

TABLE 125 BRIGHAM AND WOMEN'S HOSPITAL TECHNOLOGY AND NETWORK

TABLE 126 BRIGHAM AND WOMEN'S HOSPITAL TELEMEDICINE PROGRAMS

Strategy

CLARIAN HEALTH PARTNERS, INDIANA

TABLE 127 CLARIAN HEALTH PARTNERS, INDIANA TELEMEDICINE SERVICES

TABLE 128 CLARIAN HEALTH PARTNERS, INDIANA TECHNOLOGY AND NETWORK

TABLE 129 CLARIAN HEALTH PARTNERS, INDIANA TELEMEDICINE PROGRAMS

Strategy

JOHN HOPKINS MEDICINE

TABLE 130 JOHN HOPKINS MEDICINE TELEMEDICINE SERVICES

TABLE 131 JOHN HOPKINS MEDICINE TECHNOLOGY AND NETWORK

TABLE 132 JOHN HOPKINS MEDICINE TELEMEDICINE PROGRAMS

Partnerships and Alliances

Strategy

MASSACHUSETTS GENERAL HOSPITAL

TABLE 133 TELEMEDICINE SERVICES

TABLE 134 TECHNOLOGY AND NETWORK

TABLE 135 TELEMEDICINE PROGRAMS

Strategy

THE KANSAS UNIVERSITY CENTER FOR TELEMEDICINE & TELEHEALTH (KUCTT)

TABLE 136 TELEMEDICINE SERVICES

TABLE 137 TECHNOLOGY AND NETWORK

TABLE 138 TELEMEDICINE PROGRAMS

Partnerships and Alliances

Strategy

UNIVERSITY OF PITTSBURGH MEDICAL CENTER

TABLE 139 TELEMEDICINE SERVICES

TABLE 140 TECHNOLOGY AND NETWORK

TABLE 141 TELEMEDICINE PROGRAMS

Partnerships and Alliances

Strategy

UNIVERSITY OF KENTUCKY CHANDLER HOSPITAL

TABLE 142 TELEMEDICINE SERVICES

TABLE 143 TECHNOLOGY AND NETWORK

TABLE 144 TELEMEDICINE PROGRAMS

Partnerships and Alliances

Strategy

DISEASE MANAGEMENT COMPANIES

ALERE MEDICAL, INC.

TABLE 145 ALERE MEDICAL, INC. PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

AETNA

TABLE 146 AETNA PRODUCT PORTFOLIO

Strategy

HEALTHWAYS, INC.

TABLE 147 HEALTHWAYS, INC. PRODUCT PORTFOLIO

Strategy

QMED, INC.

TABLE 148 QMED PRODUCT PORTFOLIO

New Products

Partnerships and Alliances

Strategy

CONCLUSION TELEMEDICINE IS A KEY DECIDING FACTOR IN CLAIMING THE LION’S SHARE OF THE E-HEALTH CARE MARKET GROWTH OF TELEMEDICINE IS INEVITABLE DESPITE TELEMEDICINE SAVING SIGNIFICANT COST, TRUE REALIZATION TO COME ONLY AFTER SUCCESSFUL INTEGRATION DESPITE NO CLEAR POLICY ON REIMBURSEMENTS, HEALTH CARE PLAYERS ARE ACTIVELY PURSUING TELEMEDICINE RELIABILITY — KEY BUYING CRITERIA OF TELEMEDICINE TECHNOLOGY TELEMEDICINE MARKET IS UNDERESTIMATED TELEMEDICINE TO OFFER ONE-STOP SOLUTION FOR TELEHOME AND TELEHOSPITAL TELEMEDICINE — OPENING OPPORTUNITIES FOR ALL THE STAKEHOLDERS

APPENDIX I

TABLE 149 176 TELEMEDICINE PROGRAMS STUDIED

TABLE 149 (CONTINUED)

APPENDIX II

TABLE 150 PATENTS IN DESCENDING ORDER, BY DATE

TABLE 150 (CONTINUED)

APPENDIX III

TABLE 151 ALLOWABLE SERVICES AND PROVIDER TYPES FOR STATES PROVIDING MEDICAID REIMBURSEMENT FOR TELEMEDICINE

TABLE 151 (CONTINUED)

APPENDIX IV

TABLE 152 REIMBURSEMENT METHODS USED BY STATES PROVIDING MEDICAID REIMBURSEMENT FOR TELEMEDICINE

TABLE 152 (CONTINUED)

APPENDIX V TELEMEDICINE REGULATION TELEMEDICINE REGULATIONS IN DIFFERENT COUNTRIES UNITED STATES: REGULATORY OVERVIEW Issues and Regulations Licensure

TABLE 153 STATE OF TELEMEDICINE LICENSURE IN UNITED STATES (AS OF MARCH 2007)

Credentialing

Professional Liability

Reimbursement

EUROPE: REGULATORY OVERVIEW

Issues and Regulations

MALAYSIA: REGULATORY OVERVIEW

Issues and Regulations

Certification

Licensure

Physician-Patient Relation and Liability

Professional Liability

APPENDIX VI ACRONYMS ACRONYMS (CONTINUED)

LIST OF TABLES

SUMMARY TABLE GLOBAL TELEHOME AND TELEHOSPITAL MARKET FORECAST THROUGH 2012 ($ MILLIONS)*

TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET FORECAST THROUGH 2012 ($ MILLIONS)*

TABLE 2 TELEMEDICINE MARKET FORECAST BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

TABLE 3 GLOBAL TELEHOME MARKET FORECAST BY GEOGRAPHY THROUGH 2012 ($ MILLIONS)

TABLE 4 GLOBAL TELEHOSPITAL/CLINICS MARKET FORECAST BY GEOPGRAPHY,THROUGH 2012 ($ MILLIONS)*