Table of Contents
EXECUTIVE SUMMARY
Healthcare Industry
Wireless Industry
Wireless in Healthcare
Definition and Scope of Study
Application of Wireless Technologies in Healthcare
Key Wireless Technologies
Market Overview
Market for Wireless Technologies in Healthcare
Competitive Landscape
Network Infrastructure Providers
Software Providers
Medical Device Manufacturers
Regulatory Environment
Department of Health and Human Services ⎯
Health Insurance Portability and Accountability Act
Health Level Seven International
Federal Communication Commission
Healthcare Information and Management Systems Society
Health Industry Business Communications Council
Health Resources and Services Administration
Conclusions and Future Outlook
INTRODUCTION AND OVERVIEW
Healthcare Industry
The Global Healthcare Market
U.S. Healthcare Market
Economic Trends in the U.S.
U.S. Health Expenditures by Type
European Healthcare Markets
Asia-Pacific Healthcare Markets
Information Technology (IT) Spending in Healthcare
Trends
Challenges
Wireless Industry
Trends Driving the Wireless Industry
Challenges in the Wireless Industry
Definition and Scope of Study
Industry Adoption of Wireless Technologies
Hospitals
Number of Hospitals
Consolidation in the Industry
Technology Adoption in Hospitals
The Most Wireless Hospitals
Addressing Hospital Inefficiency
Hospital Systems around the World
Physicians
Number of Physicians
Technology Adoption by Physicians
Nursing Homes
Number of Nursing Home Establishments
Technology Adoption by Nursing Homes
International Trends in Nursing Facilities
Home Health
Number of Home Health Providers and Clients
Pharmacies
Number of Pharmacies
Technology Adoption by Pharmacies
Number of Pharmacies Worldwide
Medical and Diagnostic Laboratories
Number of Medical/Diagnostic Laboratories
Technology Adoption by Laboratories
Electronic Medical Records
Overview of EMRs
EMR Adoption
Are Electronic Healthcare Systems More Efficient?
The Healthcare Industry and the Cloud
OPPORTUNITIES FOR WIRELESS APPLICATIONS IN HEALTHCARE
Introduction
Wired versus Wireless Healthcare Technologies
Key Benefits
Healthcare Industry Segmentation for Wireless Applications
Healthcare Service Providers
Applications of Wireless Technologies for Healthcare Service Providers Segment
Pharmaceuticals
Application of Wireless Technologies for the Pharmaceuticals Segment
Health Plan Providers
Applications of Wireless Technologies for Health Plan Providers Segment
Key Applications
Remote Patient Monitoring
Market Overview
Clinical Drug Trials
Market Overview
E-Prescription
Deadly Medication Errors
Market Overview
RFID
Market Overview
Cloud Computing
Medical Sales Force
Market Overview
KEY WIRELESS TECHNOLOGIES AND MARKETS
Data Transmission Sessions
Wireless Operating Systems, Languages, and Protocols
Wireless Networking Technologies
Range Overview
Wireless Personal Area Network – Bluetooth
Market Overview
Benefits of Bluetooth in Healthcare
Applications of Bluetooth in Healthcare
Issues with Bluetooth Adoption in Healthcare
Wireless Personal Area Network – RFID
Market Overview
Benefits of RFID in Healthcare
Applications of RFID in Healthcare
Issues with RFID Adoption in Healthcare
Wireless Personal Area Network – ZigBee
Market Overview
Benefits of ZigBee in Healthcare
Applications of ZigBee in Healthcare
Issues with ZigBee Adoption in Healthcare
Wireless Personal Area Network – UWB
Market Overview
Benefits of UWB in Healthcare
Applications of UWB in Healthcare
Issues with UWB Adoption in Healthcare
Wireless Local Area Network (WLAN)
Market Overview
Benefits of WLAN in Healthcare
Applications of WLAN in Healthcare
Issues with WLAN Adoption in Healthcare
Wireless Metropolitan Area Network (WMAN)
List of Deployed WMAN or WiMAX in the United States
Market Overview
Benefits of WMAN in Healthcare
Applications of WMAN in Healthcare
Issues with WMAN Adoption in Healthcare
Wireless Wide Area Network (WWAN)
4G-Long Term Evolution (LTE) and other Advanced 4G Connections
Market Overview
Benefits of WWAN in Healthcare
Applications of WWAN in Healthcare
Issues with WWAN Adoption in Healthcare
IMPLEMENTING WIRELESS TECHNOLOGIES IN HEALTHCARE
Wireless Infrastructure for Healthcare
Planning for Wireless Infrastructure Deployment
Initiation and Execution of a Wireless Deployment Project
Cost of Implementation of Infrastructure
Return-on-Investment Period
INDUSTRY REGULATION
Regulatory Bodies and Societies
United States Department of Health and Human Services
Health Insurance Portability and Accountability Act (HIPAA)
Health Level Seven
Federal Communication Commission
Wireless Telecommunications Bureau
FCC Rules for Medical Wireless Communication
Healthcare Information and Management Systems Society
Health Industry Business Communications Council
Health Resources and Services Administration
Industry Initiatives
Need for Regulation
Defining the Network Security Policy for Health Organizations
Planning the Policy
E-mail Access
Content Filtering
Virtual Private Networks
Implementing the Policy
Using the Policy
Health Information Technology and American Investment and Recovery Act of 2009
(ARRA)
Healthcare Mandate
Meaningful Use Criteria
Stages of Meaningful Use
Qualifying for Stage One Meaningful Use
Stage Two Meaningful Use
MARKET OVERVIEW AND SUMMARY
Market Definition
Market Size
The U.S. Wireless Market in Healthcare
Technology-Wise Market Break-up
End User Market Break-up
Drivers and Inhibitors
Drivers and Inhibitors
Growth Drivers
Growth Inhibitors
Emerging Trends
Technology Achievements
Nanobots
Wearable Medical Devices
Implantable Medical Devices
Technology for Drug Adherence, Targeted Delivery and Monitoring
Overview: Global Wireless Markets in Healthcare
CASE STUDIES
Introduction
Achieve Healthcare Technologies – e-Prescription
Requirement for e-Prescription
Benefits
Challenges in Implementation
Bayer Healthcare – e-Drug Trials
Requirement for e-Drug Trials
Benefits
Planning and Implementation
Cardinal Health and RFID Implementation
Implementing RFID
Benefits
Cisco Systems, Meridian and Miami Children’s Hospital
George Washington University Hospital – WLAN Implementation
Requirement for Implementation of Wireless Technologies
Benefits of the Installation
Planning and Implementation
Cost of Implementation
Challenges in Implementation
Memorial Medical Center – WLAN Implementation
Requirement for Implementation of Wireless Technologies
Planning and Implementation
Challenges in Implementation
Meridian At Home Pilot Program
Benefits of Implementation
Complimenting Technologies
Qualcomm and Remote Care in Japan
Real-Time Locating Systems (RTLS), and Medication Tracking
Benefits of RTLS
Benefits of Wireless Medication Tracking
Rural Wireless Healthcare: 3G Mobile Medicine
Partners in 3G Mobile Medicine Project
Benefits of Implementation
Sentara Healthcare’s Electronic Medical Records and Wireless Technologies
Information Technology System
Benefits of Implementation
University Medical Center Ljubljana
Wireless Technologies for Patient Recovery – Remote Patient Monitoring
Requirement for Remote Monitoring
Telemonitoring Solution
Results
COMPETITIVE LANDSCAPE AND KEY COMPANY PROFILES
Competitive Landscape
Segmentation of Players
Network Infrastructure Providers
Software Providers
Medical Device Manufacturers
Mergers, Acquisitions and Alliances in the Technology Sector
Significant Activities in Healthcare IT by Company
Allscripts
AT&T
Dell
IBM
WebPT
Distribution Channel
Network Infrastructure Providers
Software Providers
Technology and Medical Device Manufacturers
Company Profiles
Allscripts Healthcare Solutions, inc.
Company Overview
Performance Review
Product Portfolio
Apple, Inc.
Company Overview
Performance Review
Product Portfolio
AT&T, Inc.
Company Overview
Performance Review
Product Portfolio
BlackBerry Ltd.
Company Overview
Performance Review
Product Portfolio
Cerner Corporation
Company Overview
Performance Review
Product Portfolio
Cisco Systems, Inc.
Company Overview
Performance Review
Product Portfolio
Dell, Inc.
Company Overview
Performance Review
Product Portfolio
Extreme Networks, Inc.
Company Overview
Performance Review
Product Portfolio
GE Healthcare
Company Overview
Performance Review
Product Portfolio
Google, Inc.
Company Overview
Performance Review
Product and Service Portfolio
Hewlett-Packard Company
Company Overview
Performance Review
Product Portfolio
Intel Corporation
Company Overview
Performance Review
Product Portfolio
International Business Machines (IBM) Corporation
Company Overview
Performance Review
Product Portfolio
McKesson Corporation
Company Overview
Performance Review
Product Portfolio
Medtronic, Inc.
Company Overview
Performance Review
Product Portfolio
Microsoft Corporation
Company Overview
Performance Review
Product Portfolio
Motorola Solutions, Inc.
Company Overview
Performance Review
Product Portfolio
Royal Philips Electronics – Philips Healthcare
Company Overview
Performance Review
Product Portfolio
Samsung Electronics Co., Ltd.
Company Overview
Performance Review
Product Portfolio
Siemens Healthcare
Company Overview
Performance Review
Product Portfolio
Verizon Communications, Inc.
Company Overview
Performance Review
Product Portfolio
REGULATORY AUTHORITIES AND ORGANIZATIONS
TABLE OF EXHIBITS
EXECUTIVE SUMMARY
Table 1-1
Key Market Size Figures, U.S. Wireless in Healthcare
Figure 1-1
Percentage Break-up of Market Share for U.S. Wireless Technologies in Healthcare (in percent)
INTRODUCTION AND OVERVIEW
Figure 2-1
Value Chain of the Healthcare Industry
Table 2-1
Total Healthcare Expenditures as a Percent of GDP by Country 1990, 2000 and 2011 (Selected Countries)
Figure 2-2
Total Healthcare Expenditures as a Percent of GDP by Country 1990, 2000, and 2011 (Selected Countries)
Table 2-2
National Healthcare Expenditures in the United States 1960-2020
Figure 2-3
Healthcare Spending as a Percent of GDP in the United States
Table 2-3
National Health Expenditure Amounts, by Type of Expenditure: Calendar Years 2015- 2021
Table 2-3 (continued)
National Health Expenditure Amounts, by Type of Expenditure: Calendar Years 2015- 2021
Figure 2-4
Healthcare IT Spending by Country
Figure 2-5
Healthcare IT Spending by Country
Figure 2-6
Projected Change in the IT Operating Budget, 2011 and 2012
Figure 2-7
Primary IT Infrastructure Focus, 2011 and 2012
Table 2-4
The U.S. Population, 1980-2050
Figure 2-8
The U.S. Population, 1980-2050
Table 2-5
The Global Population, 1980-2050
Figure 2-9
The Global Population, 1980-2050
Table 2-6
Percent U.S. Population Over Age 65 by Year, 2000-2050
Figure 2-10
United States Population Trend Age 65+, 2000-2050
Table 2-7
Global Population Trends Age 65+, 2000-2050
Figure 2-11
Global Population Trends Age 65+, 2000-2050
Table 2-8
Average Life Expectancy in Years by Country 1980 and 2012
Figure 2-12
Average Life Expectancy in Years by Country 1980 and 2012
Figure 2-13
Area that IT Can Most Impact Patient Care, 2010-2012
Figure 2-14
Value Chain of the Wireless Industry
Figure 2-15
Wireless Networking Technologies
Table 2-9
Main Types of Customers of Wireless Technology Solutions in Healthcare
Table 2-10
Some of the Main Interactions between the Customers
Table 2-11
U.S. Registered Hospitals by Type, 2011
Figure 2-16
Distribution of U.S. Registered Hospitals by Type, 2011
Figure 2-17
Number of Hospitals in the U.S., 1975-2005, Estimated 2015
Figure 2-18
Adoption of Any Wireless Technology by the U.S. Hospitals, 2003-2010 (in percent) . 54
Table 2-12
25 Most Wireless Hospitals in the U.S.
Table 2-13
U.S. Hospital Length of Stay, Average by Age Group
Figure 2-19
U.S. Hospital Length of Stay, Average by Age Group
Table 2-14
Registered Hospitals and Acute Care Centers by Country
Figure 2-20
Registered Hospitals and Acute Care Centers by Country
Table 2-15
Average International Length of Stay, by Country 2010
Figure 2-21
Average International Length of Stay, by Country 2010
Figure 2-22
Number of Physician Offices, United States, 2000-2009
Figure 2-23
Demand-Supply Gap for Physicians in the U.S., 2005-2025
Table 2-16
Medical Doctors per 1,000 Population by Country, 2011
Figure 2-24
Medical Doctors per 1,000 Population by Country, 2011
Figure 2-25
Number of Nursing Homes (United States), 2000-2010
Table 2-17
U.S. Nursing Homes, Beds, Residents and Occupancy Rate, 2010
Table 2-18
Estimated Nursing Service Establishments and Care Centers by Country
Figure 2-26
Growth in Hospice Programs in the United States, 1998-2010
Figure 2-27
Patients Served with Hospice Programs in the United States, 1998-2009
Table 2-19
Percentage of Hospice Admissions by Primary Diagnosis, 2005 -2009
Figure 2-28
Number of Pharmacies and Drug Stores, 2000-2010
Figure 2-29
Number of Medical and Diagnostic Laboratories, 2000-2010
Table 2-20
Percent of Office-based Physicians Using EMRs, 2001-2010*
Figure 2-30
Percent of Office-based Physicians Using EMRs, by Level of EMR System, 2006-201081
OPPORTUNITIES FOR WIRELESS APPLICATIONS IN HEALTHCARE
Table 3-1
Key Differences between Wired and Wireless Technologies
Figure 3-1
Healthcare Industry
Figure 3-2
Applications of Wireless Technologies for Healthcare Service Providers
Table 3-2
The U.S. Market for Advanced—Remote, Wireless—Patient Monitoring Systems 2008-
2012 and Forecasted 2013-2015
Figure 3-3
The U.S. Market for Advanced—Remote, Wireless—Patient Monitoring Systems,
2008-2015
Table 3-3
Phases of Clinical Drug Development
Figure 3-4
Distribution of U.S. Clinical Trials by Phase
Figure 3-5
Distribution of Clinical Trials by Location
Table 3-4
Estimated Average Costs for Clinical Drug Trials, Phase I through III, 2008-2015
Figure 3-6
Estimated Average Costs for Clinical Drug Trials, Phase I through III, 2008-2015
Figure 3-7
Distribution of Fatal Prescribing Errors
Table 3-5
U.S. Total Retail Prescription Estimates and Forecast, 2005-2015
Figure 3-8
U.S. Total Retail Prescription Estimates and Forecast, 2005-2015
Table 3-6
Market Estimates and Forecast for U.S. Healthcare RFID Solutions, 2008-2015
Figure 3-9
Market Estimates and Forecast for U.S. Healthcare RFID Solutions, 2008-2015
Table 3-7
Market Estimates and Forecast for U.S. Cloud Computing, 2010-2015
Figure 3-10
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Market Estimates and Forecast for U.S. Cloud Computing, 2010-2015
Table 3-8
Total Medical Sales Representatives in the United States, Estimates and Forecast, 2005-2015
Figure 3-11
Total Medical Sales Representatives in the United States, Estimates and Forecast, 2005-2015
KEY WIRELESS TECHNOLOGIES AND MARKETS
Figure 4-1
Wireless Networking Technologies
Figure 4-2
Range of Wireless Networking Technologies
Table 4-1
Market Estimates and Forecasts for WPAN – Bluetooth in Healthcare, 2008-2018
Figure 4-3
Market Estimates and Forecasts for WPAN – Bluetooth in Healthcare, 2008-2018
Figure 4-4
RFID System
Table 4-2
Market Estimates and Forecasts for WPAN – RFID in Healthcare, 2008-2018
Figure 4-5
Market Estimates and Forecasts for WPAN – RFID in Healthcare, 2008-2018
Table 4-3
Major RFID Benefits for Users
Table 4-4
RFID Application in Healthcare
Table 4-5
Market Estimates and Forecasts for WPAN – ZigBee in Healthcare, 2008-2018
Figure 4-6
Market Estimates and Forecasts for WPAN – ZigBee in Healthcare, 2008-2018
Table 4-6
Market Estimates and Forecasts for WPAN – UWB in Healthcare, 2008-2018
Figure 4-7
Market Estimates and Forecasts for WPAN – UWB in Healthcare, 2008-2018
Table 4-7
Performance Parameters Comparison of WLAN Standards
Table 4-8
Market Estimates and Forecasts for WLAN in Healthcare, 2008-2018
Figure 4-8
Market Estimates and Forecasts for WLAN in Healthcare, 2008-2018
Figure 4-9
Working Process of VoIP
Figure 4-10
Wireless Metropolitan Area Network Infrastructure
Table 4-9
Market Estimates and Forecasts for WMAN in Healthcare, 2008-2018
Figure 4-11
Market Estimates and Forecasts for WMAN in Healthcare, 2008-2018
Figure 4-12
Working Process of Wireless Wide Area Networks
Figure 4-13
Data Throughput Ranges for Mobile Phone Technologies, 1990-2010 and Beyond (in
Bits per Second)
Table 4-10
Comparison between WLAN and WWAN
Table 4-11
Market Estimates and Forecasts for WWAN in Healthcare, 2008-2018
Figure 4-14
Market Estimates and Forecasts for WWAN in Healthcare, 2008-2018
IMPLEMENTING WIRELESS TECHNOLOGIES IN HEALTHCARE
Figure 5-1
Wireless Infrastructure
Figure 5-2
Working of a Typical Wireless Network in a Hospital
Figure 5-3
Planning for Wireless Technologies Implementation in a Healthcare Environment
Figure 5-4
Recommended Phases for Implementing a Wireless Network in Healthcare
Organizations
INDUSTRY REGULATION
Figure 6-1
Percent of U.S. Hospitals Reporting Security Breach of IT System, 2011 and 2012
Figure 6-2
Top Concerns — Security of Computerized Medical Information, 2011 and 2012
Table 6-1
Stages of Meaningful Use
Figure 6-3
Percent of Organizations that Expect to Qualify for Stage One Meaningful Use
MARKET OVERVIEW AND SUMMARY
Figure 7-1
Wireless Networking Technologies
Table 7-1
U.S. Wireless Healthcare Market, 2008-2018
Figure 7-2
Market Estimates and Forecasts for U.S. Wireless Technologies in Healthcare, 2008- 2018
Figure 7-3
Percentage Break-up of Market Share for Wireless Technologies in Healthcare (in percent)
Figure 7-4
Percentage Break-up of Market Share for End Users of Wireless Technologies in Healthcare
Figure 7-5
Most Significant Barriers to Implementing IT, 2012
Figure 7-6
The Global Market for Wireless Healthcare Technologies Estimated Market Share Geographic Region, 2013
CASE STUDIES
Table 8-1
Miami Children’s Hospital Wireless Connectivity Goals and Solutions
Table 8-2
Wireless Connectivity Goals and Solutions at University Medical Center, Ljubljana . 249
COMPETITIVE LANDSCAPE AND KEY COMPANY PROFILES
Figure 9-1
Company Comparison, 2012 Revenues
Table 9-1
Corporate Details of Allscripts
Figure 9-2
Allscripts Healthcare Revenues, 2006-2012 ($millions)
Figure 9-3
Break-up of Sales by Region, 2012
Table 9-2
Corporate Details for Apple, Inc.
Figure 9-4
Apple’s Revenues 2006-2012 ($millions)
Figure 9-5
Break-up of Sales by Segment, 2012
Table 9-3
Corporate Details of AT&T
Figure 9-6
AT&T’s Sales, 2006-2012
Figure 9-7
Break-up of Sales by Segment, 2012
Table 9-4
Corporate Details for BlackBerry Ltd.
Figure 9-8
BlackBerry’s Revenues 2006-2012 ($millions)
Figure 9-9
Break-up of Sales by Segment, 2012
Table 9-5
Corporate Details of Cerner Corporation
Figure 9-10
Cerner Corporation Revenues, 2006-2012
($millions)
Figure 9-11
Break-up of Sales by Type, 2012
Table 9-6
Corporate Details of Cisco Systems, Inc
Figure 9-12
Cisco Systems, Inc. Revenues, 2007-2013
($million)
Figure 9-13
Break-up of Net Sales by Region, 2012
Table 9-7
Corporate Details of Dell, Inc.
Figure 9-14
Dell’s Sales, 2006-2013*
Figure 9-15
Break-up of Sales by Segment, Fiscal 2013
Table 9-8
Corporate Details of Extreme Networks, Inc.
Figure 9-16
Extreme Networks Revenues, 2007-2013 ($million)
Figure 9-17
Break-up of Sales by Region, 2013
Table 9-9
Corporate Details of General Electric Company
Figure 9-18
General Electric Company and General Electric Healthcare Revenues, 2006-2012 ($million)
Figure 9-19
Break-up of Revenues by Segment, 2012
Table 9-10
Corporate Details of Google, Inc
Figure 9-20
Google, Inc. Revenues, 2006-2012 ($millions)
Figure 9-21
Break-up of Revenues by Business Segment, 2012
Table 9-11
Corporate Details of Hewlett Packard
Figure 9-22
Hewlett Packard Revenues, 2006-2012 ($million)
Figure 9-23
Break-up of Sales by Segment, 2012
Table 9-12
Corporate Details of Intel
Figure 9-24
Intel Revenues, 2006-2012 ($million)
Figure 9-25
Break-up of Sales by Segment, 2012
Table 9-13
Corporate Details of IBM
Figure 9-26
International Business Machines (IBM) Revenues, 2006-2012 ($million)
Figure 9-27
Break-up of Sales by Segment, 2012
Table 9-14
Corporate Details of McKesson Corporation
Figure 9-28
McKesson’s Revenues, 2006-2012 ($million)
Figure 9-29
Break-up of Technology Solutions Revenues, 2012
Table 9-15
Corporate Details of Medtronic
Figure 9-30
Medtronic’s Revenues, 2006-2012 ($million)
Figure 9-31
Break-up of Revenues by Segment, 2012
Table 9-16
Corporate Details of Microsoft Corporation
Figure 9-32
Microsoft’s Sales, 2007-2013*
Figure 9-33
Break-up of Revenues by Segment, 2013*
Table 9-17
Corporate Details of Motorola Solutions, Inc.
Figure 9-34
Motorola, Inc. Revenues, 2008-2012 ($millions)
Figure 9-35
Break-up of Revenues by Segment, 2012
Table 9-18
Corporate Details of Philips Healthcare
Figure 9-36
Royal Philips’ Sales, 2006-2012 ($millions)
Figure 9-37
Break-up of Revenues by Segment, 2012
Table 9-19
Corporate Details for Samsung
Figure 9-38
Samsung Revenues 2006-2012 ($millions)
Figure 9-39
Break-up of Revenues by Region, 2012
Table 9-20
Corporate Details of Siemens Healthcare
Figure 9-40
Siemens AG, 2008-2012 ($millions)
Figure 9-41
Break-up of Siemens AG Revenues by Segment, 2012 (in percent)
Table 9-21
Corporate Details of Verizon Communications
Figure 9-42
Verizon Communications Revenues, 2006-2012 ($million)
Figure 9-43
Break-up of Sales by Segment, 2012
REGULATORY AUTHORITIES AND ORGANIZATIONS
KEY COMPANY CONTACTS
