在宅医療情報システム市場でのビジネスチャンス、戦略、予測 2006−2012年

Abstract

The third quarter of 2005 continued a trend of positive developments in the healthcare information technology marketplace. A significant development was the publication of RAND s peer-reviewed study that indicates healthcare information technology could save the country s healthcare system $162 billion annually through improved efficiency, disease management and reduced adverse drug events. This study provides large-scale, independent, quantified proof of the impact healthcare information technology can have.

Information systems are emerging as a significant part of the home care delivery systems. Software leverages the efficiency of clinical process in ways that have never become possible before. The system leverages virtually all the administrative and financial information needed to run a successful home care company. Information can be gathered right from the charts.

The significance of integration systems is not yet realized in homecare information systems. However, as patients move from one care venue to another, the patient record is going to need to move with them. The hand-held, computer-based system guides home care clinicians through the entire patient care process. Clinicians can use structured record guides. The systems automate reporting.

McKesson is the worldwide leader in homecare information systems. Worldwide homecare medical information systems market shares markets are illustrated in Figure ES-2. Mckesson is the worldwide leader with 34% market share and Mysis HCIS leads in the U.S. with 26% market share.

Cerner BeyondNow Technologies and Patient Care Technologies are the number three and four market participants with 11% market share and Siemens / Novis the number five market participant with 8% share. Fujitsu is a market share market participant with 6% with measurable share.

Table of Contents

HOMECARE INFORMATION SYSTEMS, SERVICES, AND WIRELESS PRODUCTS EXECUTIVE SUMMARY

Homecare Information Systems

Return On Investment (ROI)

Homecare Information Systems Market Shares

Homecare Information Systems Market Forecasts

HOMECARE INFORMATION SYSTEMS MARKET DESCRIPTION AND MARKET DYNAMICS

1.1 Homecare Information System Software Market Shifts

Characteristics Particular To The Homecare

Information System Market

Implementation Depends On Documentation Of Each Discipline Needs

1.1.3 Home Care Services Billing Issues

1.1.4 Prospective Payment System (PPS)

1.1.5 Managed Care Requirements

1.1.6 Oasis Home Health Agencies

1.2 Need For Automation Of Home Care Companies

1.3 Homecare Information Technology Industry

History Of Low Investment In Healthcare Information Technology

Market Driving Forces For Worldwide Homecare Information Systems

1.3.3 Treatment Trends

1.3.4 Home Healthcare Delivery Industry

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

1.3.6 Science And Medical Technology

1.4 Market Drivers For Healthcare Cost Containment

1.4.1 Managed Care Organization Impact

Reasons Home Health Care Has Gained Wide-Spread Acceptance

1.5.1 Managed Care Change In The Healthcare Industry

1.5.2 Homecare For People With Long Term Disabilities

Worldwide Homecare Information Systems Market Distribution

1.6.1 Delivery Of Non-Acute Health Care

1.6.2 Leveraging Distribution Channels

1.6.3 Worldwide Homecare Information Systems Market Positioning

1.7 Increased Need For Information Technology

1.7.1 Medical Error

1.8 Shortcomings Of Traditional Healthcare Information Systems

1.9 Homecare Information Systems Market Strategy

1.9.1 Integrated Healthcare Information Technology Solutions

1.9.2 Flexible Product-Delivery Options

1.9.3 Leveraging Existing Customer Base

1.10 Homecare Information Systems Market Trends

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

2. HOMECARE INFORMATION SYSTEMS, SERVICES, AND WIRELESS MARKET SHARES AND MARKET FORECASTS

2.1 Homecare Agencies

2.2 Homecare Information Systems Market Shares

2.2.1 Misys Healthcare Systems

2.2.2 McKesson Horizon Homecare Information Systems

2.2.3 Cerner BeyondNow

2.2.4 Meditech

2.2.5 Siemens Health Services / Home Health Solutions

2.2.6 Fujitsu Homecare Information Systems

2.2.7 GE Healthcare Acquisition of IDX Systems

Homecare Information Systems Application Integration Broker Market

Homecare Information Systems Services Oriented Architecture SOA Market

2.3 Homecare Information Systems Market Forecasts

2.3.1 Homecare Information Integration Broker Market Forecasts

2.3.2 Homecare Information Integration Services Market Forecasts

Homecare Information Service Orientated Architecture (SOA) Market Forecasts

Homecare Information Wireless Handheld Systems Market Forecasts

Homecare Information Electronic Patient Records Systems Market Forecasts

Homecare Information Systems, SOA, Services, Wireless, Records Systems Market Forecasts

2.4 Home Medical Information Systems Market Segments Homecare Information Systems, SOA, Services,

Wireless, Records Systems Market Segment Forecasts

2.4.2 Users of Laptops in Homecare Information Systems

2.4.3 Personal Digital Assistant

2.4.4 Use Of POC Technology In Homecare

Home Medical Consolidated Information Systems Market Driving Forces

Homecare Services Oriented Architecture Market Driving Forces

2.6.1 Services Oriented Architecture (SOA) Components SOA Middleware Means That Information Can Be Left

Where It Is And Operated On From That Place

2.6.3 Services Oriented Architecture (SOA) Market Driving Forces

2.7 Services Oriented Architecture Market Shares

Technological Trends Impact on Demand for Homecare Services

2.8.1 Benefits of Integration Solutions

2.9 Number Of Home Healthcare And Hospice Agencies

2.9.1 Small Homecare Agencies

2.9.2 Mid Size Homecare Agencies

2.9.3 Large Homecare Agencies

2.10 Geographical Segments

2.11 Healthcare Industry Shifts

3. HOMECARE INFORMATION SYSTEM PRODUCT DESCRIPTION

3.1 Cerner BeyondNowR Homecare

Cerner BeyondNow and SecureCARE Technologies Paperless Document Exchange Partnership

3.1.2 Cerner BeyondNow. HomeWorks Solutions

3.1.3 Cerner BeyondNow. HomeWorks Integration

3.1.4 Cerner BeyondNow Telehealth Solutions

3.1.5 Cerner BeyondNow Customization

3.1.6 Cerner BeyondNow RoadNotes Efficiencies

3.2 McKesson Horizon Homecare Information Systems

McKesson Horizon Homecare Home Care Strategy for Patient Care

3.2.2 McKesson Homecare Systems Return On Investment (ROI)

3.2.3 McKesson Horizon Homecare Return on Investment

McKesson Horizon Homecare Access to And Fluidity Of Information

3.2.5 McKesson Horizon Homecare Enhanced Communication

3.2.6 McKesson Horizon Homecare Improved Efficiency

McKesson Horizon Homecare Support for Regulatory Compliance

McKesson Horizon Homecare Improved Clinician and Patient Satisfaction

3.3 Meditech Homecare and Long Term Care System

3.3.1 Meditech Administrative/Billing Suite

3.3.2 Meditech Executive Support System

3.3.3 Meditech Integration with Hospital system

3.3.4 Meditech Clinical Suite

3.3.5 Meditech Home Health Information System / Patient Care Technologies

3.4 Patient Care Technologies

3.4.1 Patient Care Technologies Home inSync Product

3.4.2 Patient Care Technologies inSync in the Office

3.4.3 Patient Care Technologies Billing and Accounts Receivable

3.4.4 Patient Care Technologies Intake Module

3.4.5 Patient Care Technologies Scheduling Module

3.4.6 Patient Care Technologies Transcription Module

3.4.7 Patient Care Technologies inSync Executive Support System

3.5 Misys Homecare

3.5.1 Misys Homecare Customizable Reporting With Quick Queries

3.5.2 Misys Homecare Speeds Claims Reimbursement

3.5.3 Misys Homecare Enhances Patient Care And Management

3.5.4 Misys Homecare Scheduling And Resource Management Tool Misys Homecare Field Personnel Access To Clinical Data At The Point Of Care

3.5.6 Misys Homecare Standards Based

3.5.7 Misys Homecare Clinical Capabilities

3.5.8 Misys Homecare Clinical OASIS Billing Support

3.5.9 Misys Homecare Clinical Plan Of Care (POC) Creation

3.5.10 Misys Homecare Clinical Visit Note

3.5.11 Misys Homecare Clinical Reporting Capabilities

3.5.12 Misys Homecare Portal Module

3.5.13 Misys Homecare General Ledger Accounting Interface

3.5.14 Misys Alert Manager Module

Misys Healthcare Systems and PDA Integration Implements Flexibility and Mobility for Home Health Solutions

3.5.16 Misys Homecare Executive Dashboard

3.6 3M Health Information Rehabilitation Systems

3.7 Procura

3.7.1 Procura Return On Investment (ROI)

3.7.2 Procura MMS

3.7.3 Procura Point of Care

3.7.4 Procura Resource Management

3.7.5 Procura Billing

3.7.6 Procura Custom Report Writer

3.7.7 Procura Synchronization

3.8 CareFacts

3.8.1 CareFacts HIS Software Platform

3.9 Fujitsu Homecare Information Systems

Fujitsu Homecare Information Systems

Assessment Tools For Electronic Support

3.9.2 Fujitsu Homecare Information Systems Reliable Infrastructure

Fujitsu Homecare Information Mobile Information Systems Challenge

3.9.4 Fujitsu Homecare Information Personal Productivity

Fujitsu Homecare Information Systems Mobile Computing Platform Benefits

Fujitsu Homecare Information Systems Mobile Computing Platform Coordinated Service

3.10 Golden Rule Software

3.11 Homecare Telemedicine

3.11.1 Tele-health Homecare Patient Monitoring

3.11.2 Cerner BeyondNow / ViTel Net Telemedicine

3.11.3 McKesson Horizon Homecare Telehealth System

3.11.4 Patient Care Technologies Tele-Monitoring

Patient Care Technologies Tele-Monitoring well@home Device

3.12 Home Infusion Software Information Systems

3.12.1 Hanns On Software Ascend-HI Overview

4. HOMECARE INFORMATION SYSTEMS TECHNOLOGY

4.1 Homecare Information Systems Requirements

4.1.1 Internet Protocol (IP) Mission Critical Functionality

4.2 Homecare Information Systems Toolkits

4.2.1 Process Management Toolkits

4.3 Homecare Information Systems-Services

4.4 Internet

4.4.1 Upgrading Software

4.4.2 End-To-End Flow From The Security Viewpoint

Homecare Information Systems Services Security Policy Configuration

4.4.4 Role Of Mission Critical Middleware Messaging

4.4.5 IBM Mission-Critical Functionality

4.4.6 IBM Websphere MQ Messaging Software

4.4.7 Linking Internal Operations

4.5 Homecare Information Systems Product Technology

4.5.1 Windows Interface

4.5.2 SQL Server

4.5.3 Misys Cache

4.5.4 Server Monitor

4.5.5 Field Synchronization

4.6 State-Of-The-Art Security

4.6.1 Misys Portal and Document Manager Module

4.7 HL7 Interface & Accounting Exports

4.8 Testing Services As An Extension Of Homecare

4.9 Web Services

4.9.1 Services Guarantee Compliance

4.9.2 Outcomes Monitoring

4.9.3 Web Services Key Standards

4.9.4 Web Services Definition

4.10 Web Services Architecture

4.11 Distributed Service Discovery Methods

4.11.1 Web Services Positioning

4.12 OASIS

4.13 SOAP

4.13.1 SOAP Framework

4.13.2 Framework For Developing Web Services

4.13.3 Apache SOAP

4.13.4 Load Balancer With SSL Support

4.13.5 Points Of Failure

4.13.6 SOAP Limitations

4.13.7 SOAP Protocol Uses Multi-Step Process

4.13.8 Framework Benefits

4.13.9 SOAP Test Strategies

4.13.10 SOAP Solutions

4.14 WSDL

4.14.1 WSDL Service Descriptions

4.15 UDDI Registry

4.15.1 UDDI Test Registries

4.15.2 UDDI Distributed Web Service Discovery

4.15.3 UDDI Consortium

4.15.4 WS-Inspection Document Extensibility

4.16 Language XSLT

5. HOME HEALTH AND HOSPICE INFORMATION SYSTEMS COMPANY PROFILES

5.1 Accumedic Computer Systems

5.1.1 Accumedic Medical Practice Management Software Solutions

5.2 American Health Care Software Enterprises

5.3 CareFacts

5.4 Cerner (NASDAQ: CERN)

5.4.1 Cerner Corporation: Taking the Paper out of Healthcare

5.4.2 Cerner / BeyondNow Technologies

5.4.3 Cerner Strategy

5.4.4 Cerner Expanding Presence In Home Healthcare Market

5.4.5 Cerner Revenue

5.5 Eclipsys

5.6 Fujitsu

5.6.1 Fujitsu Homecare Information Systems

5.6.2 Fujitsu Network Communications

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

5.6.4 Fujitsu FLASHWAVER 7500 Small System

5.6.5 Fujitsu FASST Transition Solutions

5.6.6 Fujitsu Microelectronics America

5.6.7 Fujitsu Network Communications Inc.

5.6.8 Fujitsu Revenue

5.6.9 Fujitsu Business Segment Results

5.7 GE Portable Homecare Medical Information Systems

5.7.1 GE Healthcare Acquisition of IDX Systems

5.7.2 GE Healthcare

5.7.3 GE / IDX Systems

5.7.4 IDX Web Strategy

5.7.5 IDX Information Systems

5.7.6 IDX Strategy

5.7.7 IDX Web Strategy

5.7.8 IDX Systems Revenue

5.8 Golden Rule Software

5.9 Green Mountain Software

5.10 Hanns On Software

5.11 McKesson

5.11.1 McKesson Information And Care Management Products

5.12 Meditech

5.12.1 Meditech Client / Server Platform

5.12.2 Meditech Client / Server Benefits

5.12.3 MeditechDesktop Access to the Internet

5.12.4 Meditech Increased Processing Power

5.12.5 Meditech Internet Access Feature

5.12.6 Meditech System Monitoring Tool: Alert

5.12.7 Medical Information Technology Revenu

5.12.8 Meditech Integrated Software Solutions

5.13 Misys Healthcare Systems

5.13.1 Misys plc (FTSE: MSY)

5.13.2 Misys Healthcare Systems  Home Health Solution Benefits

5.13.3 Misys Homecare Customers

5.14 Patient Care Technologies

5.15 Procura

5.15.1 Procura Health Management System

5.16 Siemens

5.16.1 Siemens Home Health Solutions Customer Base:

5.16.2 Siemens Research and Development

5.16.3 Siemens Information and Communication Networks

5.16.4 Siemens Information and Communication Mobile Group

5.17 ViTel Net