WinterGreen Research announces that it has published a new study Push Telecommunications for Tele-Medicine (PTT) and M-Health: Market Shares, Strategy, and Forecasts, Worldwide, 2015 to 2021. The 2015 study has 815 pages, 259 tables and figures. Worldwide markets are poised to achieve significant growth as the push systems are used inside telemedicine systems and m-health apps to move patient and clinician communication in a secure manner to and from the person or clinician that needs the healthcare information. Telecommunications initiatives are being implemented with handset and tablet communications for all patients and clinicians.
Tele-medicine and M-health market driving forces relate to people taking more responsibility for their own health. Tele-medicine and m-health contribute to healthcare delivery in the home and office. M-health, delivered over the smart phone and tablet, comes in the form of apps. Tele-medicine is evolving toward smart phone device delivery as well.
The cost of tele-medicine for the US veterans administration is $1,630 per patient per annum. This is substantially less than skilled nursing facility programs and nursing home care which cots $100,000 per annum. VHA’s positive experience with enterprise-wide home tele-medicine implementation is driving adoption by hospitals everywhere. Telemedicine is an appropriate and cost-effective way of managing chronic care patients in both urban and rural settings.
The tele-medicine adoption rate is growing. Cost of care delivery has become a major concern worldwide as the population ages. Mobile phone apps and remote telemedicine equipment are driving increased adoption, growing adoption rates. Concerns regarding the efficacy of care through use of tele-medicine in healthcare industry have alleviated. Reimbursement is being made available for clinicians for the use of tele-medicine.
Patients are being encouraged to take more responsibility for their own care. Technology is bringing change. People have more accurate information available to themselves. The current situation is impacted by the very high proportion medical spending that is directed to treatment of chronic disease. A second aspect is that chronic conditions are best controlled by interventions on a daily basis with a trusted nurse monitoring and measuring outcomes of various situations.
The tele-monitors integrates with the management suites to empower care providers within healthcare systems, physician offices, or home health agencies with web-enabled, on-demand access to this configurable device. Wireless connectivity with a broad range of peripheral devices supports patients with a variety of the needs and risk factors.
Medical consultation systems to allow healthcare providers to remotely monitor patients around-the-clock. Voice-enabled, disease-specific symptom management (DSSM) questions are part of the system. Protocols (include multi-level questions. Multilevel questions sets can be triggered by yes or no answers.
This level of granularity enables care providers to telemonitor patients with chronic diseases. Disease conditions monitored include hypertension, COPD, CHF, and diabetes. Honeywell network of remote patient monitors consists of 70,000 installed units. This is a significant installed base. Honeywell offers a complete and flexible telemonitoring system. Accurate vital signs collection is improved with clear auditory and visual cues to the patient.
This study deals with three separate related markets. Telemedicine is the tracking and monitoring of chronic disease. Vital signs and advice are core parts of the business. M-health is a separate business related to the development of apps that are providing monitoring through smart phones and tables, and are providing wellness applications. Tele-health is a related market. In tele-health, companies, enterprises, and insurers contract with a services provider to be available on the telephone to help people deal with a virus, an infection, poison ivy, pink eye, and common disease conditions that can be managed with telephone or video communications..
M-Health relates to apps. The app helps healthcare providers meet patients where they are, enabling just-in-time patient education and care coaching through the power of the mHealth. Health Groups are evolving worldwide leadership positions in mobile health systems with millions using its mobile health applications on iOS and Android, enjoying the personal and family benefits of being led to live a more active, healthier lifestyle.
Push telecommunications for tele-medicine (PTT) and M-health supports custom messaging from patients on a daily basis. Messaging is a feature of the Bosch Health Buddy System and other leading telemedicine systems. The systems rely on content programs that are tailored to patient conditions and involve questionnaires tailored to the chronic condition in the case of patients with those types of disease conditions.
With chronic disease telemedicine systems, content is pushed out to the patient on a custom basis, addressing changes in patient condition. Content varying is implemented each day to assess different key aspects of care and to keep the experience fresh for patients. The custom messaging feature enables care providers to send customized notifications to specific patients or their entire population with the click of one button. Messages appear on the patient’s device display on their next session, and are archived and audited by the system, allowing the care provider to track when patients receive and view their messages.
In the case of remote presence telemedicine systems and video conferencing systems, the care giver needs to have access to the patient record. In the long term, this will be how the systems all work, that the physician talking to the patient has the ability to see the test results and the patient history.
There is strong market growth in all segments, but the most dramatic is in the smart phone apps segment. Electronic personal monitoring and profiling of healthy behaviors will grow dramatically. The unprecedented availability of sensors that detect sleep patterns, exercise patterns, and correlate these with vital signs monitoring is bringing a huge change to living.
Just as sports clubs have created a way for people to exercise instead of going to the bar, so also smart phones will encourage healthy behaviors. The information gathered will make its way into the electronic patient record, feeding ways for physicians to encourage compliance. Apps at $.99 each will predominate, linking to cognitive computing systems in the cloud.
The analytical capabilities of cognitive computers help people make sense of the accumulated information about lifestyle and will help people make more intelligent choices about lifestyle. Tele-medicine device and software companies recognize that their revenue stream will come from services delivery. Just as smart phones are paid for in conjunction with the services contracts, so also the tele-medicine applications are 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. Early intervention is dramatically less expensive than a trip to the emergency ward. (ER)
IBM Watson cognitive computing drives the M-health market with its cloud computing analytics available to a number of market participants. Healthcare patient, physician, and facility decision support markets are forecast based on the broad availability of smartphones combined with the IBM Watson technology that promises to revolutionize care delivery for every healthcare venue.
Watson offers Interactive Care Insights for Oncology. The cognitive systems use insights gleaned from the deep experience of Memorial Sloan-Kettering and Massachusetts General Hospital clinicians. Watson is positioned to permit clinicians to provide individualized treatment. More options are based on patient medical information. IBM Watson in combination with Memorial Sloan-Kettering Cancer Center has information that represents the synthesis of a vast array of updated and vetted treatment. It is able to compute individual treatment guidelines. This represents a revolution in cancer treatment care and presages a major revolution in all healthcare treatment and diagnosis.
Teladoc, Inc. provides telehealth services in the United States. It has a stable of doctors that perform diagnoses, recommend treatment, and prescribe medication for various medical issues, including cold and flu symptoms, bronchitis, allergies, poison ivy, pink eye, urinary tract infection, respiratory infection, sinus problems, ear infection, and more.
Teladoc is the largest telehealth provider in the nation, founded in 2002. Teladoc provides 24/7/365 access to U.S board-certified doctors. Telehealth services are available when needed. Teladoc is the nation’s leading telehealth provider with 10 million members and 300,000-plus consults annually. Teladoc provides 24/7 access to affordable, high-quality medical care for adults and children experiencing non-emergency medical issues via phone, secure online video, mobile app or HealthSpot™ Station – a private, walk-in kiosk. Through a directly-managed network of U.S.-based, board-certified physicians, Teladoc delivers a 95 percent patient satisfaction rate with an average response time of eight minutes.
Teladoc client EMC Corporation Teledoc works closely with the Director of Benefits to leverage telemedicine services for employees. Telemedicine is offered as part of benefits packages. Teledoc provides employees with greater access to convenient, high quality medical care.
Worldwide Tele-medicine and M-health PTT push market driving forces relate to the improved effectiveness of remote communications in all industries. An clinical reimbursement addressing mobile health initiative for chronic conditions. This trend promises to become prevalent as people learn how to keep themselves healthier. Healthy behaviors such as exercise, good diet and stress management have the potential to reverse aging on a molecular level and partly restore the vitality of a person’s cells.
Healthy lifestyle choices can increase the length of DNA sequences found at the end of a person’s chromosomes. This shift toward wellness has stimulated the need for better communication between clinicians and patients. New sensor technology creates the opportunity for monitoring and for alerts to be send to and from at risk people who are exercising.
PTT telemedicine markets are poised to achieve significant growth as the existing telemedicine systems merge with the smart phone systems of engagement to provide a way to improve clinical care delivery to patients with chronic disease, decreasing hospitalizations and visits to the emergency room. There is a convergence of telemedicine and m-health as the patients become more responsible for their own care delivery and their own health.
According to Susan Eustis, lead author of the WinterGreen Research team that prepared the telemedicine market research study, “Push technology for telemedicine (PTT) is evolving large new markets. Markets are evolving as smart phone devices find more uses. Differential diagnostic tools and significant improvements in monitoring support differential tele-medical treatment. The decision process takes into account clinical findings from home monitoring devices and from symptoms verbally communicated in a clinical services implementation.”
Tele-medicine, telehealth, and m-health contribute to healthcare delivery. M-health will surely be delivered over the smart phone and tablets. Tele-medicine is evolving toward smart phone device delivery as well. The cost of tele-medicine is substantially less than other NIC programs and nursing home care. VHA’s experience is that an enterprise-wide home tele-medicine implementation is an appropriate and cost-effective way of managing chronic care patients in both urban and rural settings. Chronic disease conditions are best treated early on when there is a change in patient condition and an early intervention can make a difference. It is even better to treat them in a wellness treatment environment before there are indications of chronic disease, before symptoms develop, by addressing lifestyle issues early on.
Telemedicine, telehealth, and M-health markets at $1.5 billion in 2014 are anticipated to reach $45.4 billion by 2021. M-Health markets related to telemedicine will grow the fastest, leveraging 9.5 billion smart phones and 5 billion connected tablet devices installed all over the world by 2021.
Companies Profiled
Market Leaders
Market Participants
Tele-Medicine and M-Health Push PTT Executive Summary 53
Tele-Medicine and M-Health Market Driving Forces 53
Real-Time Monitoring Of Physiological Data 56
PTT Push Telemedicine 57
M-Health and Tele-Medicine Market Convergence 58
Tele-Medicine and M-Health Market Shares 59
Telemedicine Chronic Disease Tracking Devices Market Share 59
Tele-Medicine And M-Health Market Forecasts 61
1. Push Telecommunications For Tele-Medicine (PTT) And M-Health Market Description And Market Dynamics 64
1.1 Definition of PTT 64
1.2 eICUs 64
1.3 Remote Monitoring as Standard of Care 66
1.3.1 Telemonitoring Systems Premise 68
1.3.2 Sedentary Get Exercise And Heart Failure Patients Pay Attention To Swelling In Their Feet, Ankles Or Legs 68
1.3.3 Telemonitoring Systems Improve Home Health Care 69
1.3.4 Vital Signs And Health Status Are Measured Daily 70
1.3.5 Telemonitoring at Home 71
1.4 Federal Medicare Program for Seniors Health Apps - CMS 71
1.4.1 Cardiac Monitoring 71
1.5 Telemedicine 75
1.5.1 Nursing Stations 76
1.5.2 Telemedicine Services 78
1.5.3 Service Provider Adoption of Tele-Monitoring 79
1.5.4 Telemedicine Delivery Mechanisms 83
1.5.5 Telemedicine Point-To-Point Connections 83
1.5.6 High Definition Video Communication 84
1.6 Telemonitors Customized To Meet Individual Needs 86
1.7 US Makes Telemedicine Priority 89
1.7.1 Federal Funding for Telemedicine 91
1.7.2 US Telemedicine Medicare – 91
1.7.3 US Veterans Health Administration (VA) Use of Telemonitoring 92
1.7.4 Tele-monitoring Demonstrates Positive Results In Improving Health Care And Reducing Costs Of Veterans 93
1.7.5 US VA Tele-monitoring Targeted Innovation: 95
1.8 Tele-Monitor Devices 97
1.8.1 Customizing Tele-Monitors 97
1.8.2 Intel® Health Care Management Security 98
1.9 Telemonitoring Research 100
1.9.1 New England Journal of Medicine Research 101
1.9.2 NEJM Has Published Several Letters That Critique The Study 103
1.9.3 Bosch Health Buddy Desktop Research 106
1.9.4 Physician Notification on CHF 107
1.9.5 US Patient Protection and Affordable Care Act 110
1.10 Federal, State, Local, And Foreign Laws Compliance 112
1.10.1 Government Regulation of Medical Devices 113
1.10.2 Before And After A Medical Device Is Commercially Distributed, Ongoing Responsibilities Under FDA Regulations 115
1.10.3 Tele-monitoring Third-Party Reimbursement 117
1.11 Health Information Privacy HIPAA Requirements 117
1.11.1 HIPAA Enforcement 124
1.11.2 OCR Responsible For Enforcing HIPAA Privacy and Security Rules 126
1.12 Hospital and Insurance Company Telemedicine Services 127
1.12.1 Hospital Telemedicine Systems 128
1.13 Postacute Care Co-ordination: Healthcare Reform Readmission Penalties 129
1.13.1 Federal Crimes Under The Health Insurance Portability and Accountability Act HIPAA 129
1.14 Partners Mass General Cardiologist Program for High Risk Heart Failure Patients 131
2. Tele-Medicine / M-Health Market Shares And Market Forecasts: 133
2.1 Tele-Medicine and M-Health Market Driving Forces 133
2.1.1 Real-Time Monitoring Of Physiological Data 136
2.1.2 PTT Push Telemedicine 137
2.1.3 M-Health and Tele-Medicine Market Convergence 138
2.2 Tele-Medicine and M-Health Market Shares 139
2.2.1 Telemedicine Chronic Disease Tracking Devices Market Share 139
2.2.2 Bosch 142
2.2.3 Viterion 143
2.2.4 Care Innovations / Intel / GE 144
2.2.5 Honeywell 144
2.2.6 ProConnections Telemedicine Systems Enhance the Delivery of Healthcare 145
2.2.7 Tactio 145
2.3 Tele-Medicine And M-Health Market Forecasts 147
2.3.1 Telemedicine and M-Health Market Segments, Clinical Tracking of Chronic Disease, Physician Remote Presence, Smart Phone Apps, and Video Conferencing Telepresence 150
2.3.2 75% of Home Healthcare Organizations Have Funded Home Telemedicine Initiatives 155
2.3.3 Telemedicine Devices 156
2.4 Telemedicine Push Technology 157
2.4.1 Telemedicine Video Conferencing Telepresence Market Shares 157
2.4.2 Telehealth Remote Presence Telemedicine Market Shares 160
2.4.3 M-Health Telemedicine Apps Market Shares 166
2.4.4 M-Health Apps Market Forecasts 168
2.4.5 IBM Watson Cognitive Computing Drives the Market 171
2.4.6 IBM Watson Cognitive Computing 174
2.5 M-Health Wireless Tele-Health Apps 176
2.5.1 Cigna MDLive App 177
2.5.2 Carrier Service Provider Telemedicine Challenges 179
2.5.3 Telemedicine Carrier Service Providers 180
2.5.4 AT&T 180
2.5.5 Healthcare Providers Use Technology To Improve Effectiveness Of Care Providers 181
2.5.6 HHSC 182
2.6 M-Health and Tele-Medicine Insurance Initiatives 183
2.6.1 Aetna 183
2.6.2 Kaiser 183
2.6.3 Humana 183
2.6.4 UnitedHelathOne 184
2.6.5 Cigna 184
2.7 M-Health and Tele-Medicine Key Clinical Initiatives 184
2.7.1 Massachusetts General 184
2.7.2 WellPoint 185
2.7.3 Mayo Clinic 185
2.7.4 MD Anderson and Sloan Kettering 186
2.8 M-Health Apps 186
2.8.1 FDA 187
2.8.2 FDA Types of Mobile App Regulated 188
2.8.3 From B2B to B2B2C: Making Meaningful Use of mHealth 190
2.9 Tele-Medicine Alarm Devices 195
2.9.1 Telemedicine Computer Industry Vendor Market Share and Forecast 199
2.9.2 Healthcare Decision Support Market Forecasts 199
2.9.3 Tele-health Originating Site Facility Fee Payment Amount Update 201
2.9.4 Healthcare Decision Support Market Forecasts, Facility, Research, and Insurers 203
2.9.5 Medical Criteria to Ensure Hospitalizations Are Necessary Gets Outdated Too Fast 203
2.10 Rapid Readmissions 204
2.10.1 Medical Criteria to Ensure Hospitalizations Are Necessary Gets Outdated Too Fast 205
2.10.2 Telemedicine Sensors Market Share and Forecast 206
2.10.3 M-Health Apps 207
2.10.4 Telemedicine Carrier Services Market Shares and Forecast 208
2.10.5 Telemedicine Videoconferencing Market Shares and Forecast 211
2.11 Statistics Describing Telemedicine Market 215
2.11.1 Congestive Heart Failure 215
2.11.2 Diabetes Chronic Illness Numbers 218
2.11.3 Incidence of Chronic Disease 220
2.11.4 Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending 222
2.11.5 Clinical Staff / Patient Ratios: Physician Shortages 222
2.11.6 Tele-medicine Disease Statistics Incidence and Prevalence 223
2.11.7 Aging Of The Population 224
2.11.8 Robotic Therapeutic Stroke Rehabilitation 229
2.11.9 Disease Rehabilitation 230
2.11.10 Rehabilitation of Hip Injuries 231
2.11.11 Medical Conditions Requiring Supplemental Oxygen 232
2.11.12 Tele-medicine Market Driving Forces 234
2.11.13 Measures of Tele-Medicine Effectiveness 235
2.11.14 Home Patient Monitoring Supports Patient Education 236
2.11.15 Real-Time Monitoring Of Physiological Data 237
2.11.16 Tele-Medicine IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic
Support Expert Systems 239
2.11.17 Huawei Telemedicine Helps Treat Chronic Diseases in an Aging Population 241
2.12 Telemedicine Device and App Prices 243
2.12.1 Tele-Medicine Prices and Reimbursement 243
2.12.1 Cost of Honeywell Homemed Home Health Monitoring & MedPartner 244
2.12.2 TouchPointCare 244
2.12.3 Cost of Honeywell Home Health Monitoring 251
2.13 Telemedicine Regional Markets 253
3. Push Telemedicine (PTT) / M-Health Product Description 256
3.1 Bosch Healthcare Telemedicine Solutions 256
3.1.1 Bosch Health Buddy 256
3.1.2 Bosch Heath Buddy System 258
3.1.3 Bosch Health Buddy Integrated Cellular Modem 259
3.1.4 Bosch Healthcare, Bosch Telemedicine and Care Solutions 262
3.1.5 Bosch Healthcare Supports Independent Living At Home 263
3.1.6 Bosch Telemedicine Solutions 263
3.1.7 Bosch Telemedicine Provides Daily Report About Patients with Chronic Conditions 264
3.1.8 Bosch Devices for Patients with Diabetes 265
3.1.9 Bosch Health Buddy Decision Support Tools 266
3.1.10 Bosch Patient Support System 270
3.1.11 Bosch Telemedicine Results 271
3.1.12 Bosch Healthcare Telemedicine Wireless Systems 271
3.1.13 Bosch Healthcare Telemedicine Custom Messaging Feature 272
3.1.14 Bosch Healthcare Advancing Telemedicine Solutions Through Dialogue 274
3.1.15 Bosch Healthcare Telemedicine Growth 274
3.1.16 Bosch / McKesson Telemedicine Advisor 276
3.1.17 McKesson Channel Partner - The Bosch Group 279
3.2 Viterion 279
3.2.1 Viterion Improves Healthcare Delivery 282
3.2.2 Value VA Derives from Viterion Telehealth Technologies 289
3.2.3 Viterion Systems Efficiencies at UK Department of Health (DOH) 291
3.2.4 ViterionNET Capabilities 296
3.2.5 ViterionNET Data-Encryption 298
3.2.6 Viterion® Telemedicine Monitor For Diabetes Care 298
3.3 Honeywell 300
3.3.1 Honeywell Lifestream Manager 301
3.3.2 Honeywell Lifestream Analytics 303
3.3.3 Honeywell Lifestream View 306
3.3.4 Honeywell LifeStream Connect 307
3.3.5 Honeywell Genesis DM 308
3.3.6 Honeywell Tablet Telemedicine App 310
3.3.7 Honeywell Telemedicine Devices 311
3.3.8 Samsung Galaxy Tablet Runs Honeywell Cloud Telemedicine App 311
3.3.9 Honeywell Genesis Touch Allows the Galaxy Tablet 312
3.3.10 Honeywell Genesis LifeStream Dashboard 312
3.3.11 Honeywell Health Monitoring System: Visiting Nurses Association (VNA) 315
3.3.12 Honeywell MedPartner 317
3.3.13 Honeywell Health Monitoring System Criteria for Monitoring 318
3.3.14 Honeywell Health Monitoring System FDA Class II, Hospital Grade, Medical Device 319
3.3.15 Honeywell Med Partner 321
3.3.16 Honeywell Genesis Touch Telemedicine App 322
3.3.17 Honeywell Genesis Touch include the Fuze Meeting Visual Collaboration 324
3.4 Care Innovations / Intel / GE 325
3.4.1 Care Innovations SOA Software 325
3.4.2 Care Innovations Patient Reports 326
3.4.3 Care Innovations™ Connect Can Help Seniors In Independent Living Facilities 332
3.5 Medtronic / Cardiocom 333
3.5.1 Cardiocom Telehealth Systems 333
3.5.2 Cardiocom Commander Flex 335
3.5.3 Cardiocom Telescale 338
3.5.4 Cardiocom Glucocom & Autolink 341
3.5.5 Cardiocom Teleresponse 343
3.5.6 Cardiocom Netresponse 345
3.5.7 Cardiocom Linkview 347
3.6 Philips 350
3.6.1 Philips Secure Data Infrastructure Supports Patient at Home 352
3.6.2 Philips HealthStart MRx Monitor/Defibrillator 354
3.6.3 Philips HealthStart FR3 AED 356
3.6.4 Philips HeartStart Telemedicine System 357
3.6.5 Philips Heart Start 360
3.6.6 Philips IntelliVue Application Server 362
3.6.7 Philips Application Server Positioning 365
3.6.8 Philips Steady Scale 366
3.7 Global Med Telehealth: Benefits of Video Conferencing 369
3.7.1 Global Med WallDoc® 369
3.7.2 Global Med LiteExam™ Mobile Telemedicine Station 371
3.7.3 GlobalMed Tele-Health Carts 374
3.7.4 GlobalMed Telemedicine Products | Telehealth Equipment | Medical Technology 375
3.7.5 GlobalMed Telemedicine Carts | Telehealth Carts 375
3.7.6 GlobalMed i8500™ Mobile Telemedicine Station 377
3.7.7 GlobalMed TES (Transportable Exam Station) 377
3.7.8 GlobalMed FirstExam™ Mobile Telemedicine Station 379
3.7.9 GlobalMed Teleaudiology Cart | Mobile Medical Carts 381
3.7.10 GlobalMed Medical Technology Products | Mobile Medical Carts 381
3.7.11 GlobalMed Mobile Telemedicine Carts One Design Care Delivery 381
3.7.12 GlobalMed TotalExam™ HD Examination Camera 384
3.7.13 GlobalMed Diagnostic Imaging | Medical Imaging 384
3.7.14 GlobalMed Diagnostic Imaging | Medical Imaging Equipment 386
3.7.15 Global Med Health Care IT | Advanced Medical Technologies 387
3.8 IBM / Telemedicine 388
3.8.1 IBM Watson Boston Children's Hospital Partnership 388
3.8.2 IBM Cognitive Computing 388
3.8.3 IBM's Watson Health Division Incorporates Patient Data from Apple389
3.8.4 IBM Partners with Johnson & Johnson 390
3.8.5 IBM Partners with Medtronic 390
3.9 Google 391
3.10 CDAC MERCURYTM Web Telemedicine 391
3.11 Telemedicine Video Conferencing 395
3.12 Cisco HealthPresence 395
3.12.1 Cisco TelePresence System 3200 Series 396
3.12.2 Cisco 399
3.13 Polycom Video Conferencing 400
3.13.1 Polycom Telemedicine Addresses Aging Population Problem Combined With Too Few Doctors 400
3.13.2 Polycom RealPresence Cloud Collaboration Center 404
3.14 Logitech Lifesize 408
3.14.1 Logitech Lifesize Video Conferencing Helps Extend Patient Care 410
3.14.2 Logitech Lifesize Global Medical Collaboration 411
3.14.3 Logitech LifeSize Telemedicine Featured Customers 411
3.15 Vidyo Telemedicine Healthcare 412
3.15.1 Vidyo for Healthcare Applications: 416
3.15.2 Vidyo API 417
3.16 Sony Telemedicine Video Conferencing 418
3.16.1 Sony Virtual Tumor Board 418
3.17 Huawei’s Telemedicine Solution 420
3.18 Apps: Telemedicine Applications for Smartphones and Tablets 424
3.18.1 US FDA Encourages The Development Of Mobile Medical Apps 425
3.19 MedApps 439
3.20 Biotronik Cardiac Telemonitoring Devices 440
3.20.1 Biotronik Home Monitoring Lumax 540 Series State-Of-The-Art Features 441
3.21 Influence Health 443
3.22 Tactio 443
3.23 Teladoc 445
3.23.1 Teladoc Capitalization Of Inflection Point In Telemedicine Market 447
3.23.2 Teladoc Client EMC 447
3.23.3 Teladoc On Target To Complete More Than A Quarter-Million Medical Consults Across U.S. 448
3.23.4 Teladoc Doctors 448
3.24 1Life Healthcare 449
3.25 American Well 449
3.26 iRobot and InTouch 449
3.27 InTouch 451
4 . Tele-Monitor Telemedicine Technology 453
4.1 American Telemedicine Association 453
4.2 Patient-Centered /-Participatory Congestive Heart Failure Telemonitoring455
4.2.1 Heart Failure 459
4.2.2 TIM-HF Study CHF 460
4.2.3 TheTEHAF study 462
4.2.4 Johns Hopkins Home-Based Telemonitoring 464
4.3 Clinical Video Telehealth Protocols 466
4.3.1 Synchronous Clinical Video Telehealth 466
4.3.2 Asynchronous Clinical Video Telehealth 467
4.4 Diabetes Remote Monitoring 467
4.4.1 Diabetes Remote Monitoring Drivers 467
4.4.2 Partners HealthCare Diabetes Remote Monitoring Program Overview 468
4.4.3 Partners HealthCare Diabetes Monitoring Member 469
4.5 Partners Healthcare Blood Pressure Home Monitoring Health Initiative 473
4.5.1 Partners Healthcare Blood Pressure Connect 473
4.6 Medtronic 475
4.7 Health Monitoring 479
4.7.1 Patient-Centered Home Tele Health Monitoring 480
4.8 Chronic Heart Failure Clinical Studies 483
4.9 Texas Pilot Program 487
4.9.1 Obstructive Sleep Apnea (OSA) A Major Chronic Condition 488
4.9.2 Hypertension Intervention Nurse Telemedicine (HINTS) Study 489
4.10 Ingestible Event Marker 490
4.10.1 Home Healthcare Technologies 490
4.10.2 Telemonitoring Research Studies 490
4.11 Continua 492
4.11.1 Continua Health Alliance Provides Integration Technology 495
4.11.2 Continua Health Alliance 497
4.12 Telehealth Value Categories 501
4.13 Telemedicine Accessibility 502
4.14 Communities and Collaboration 503
4.15 Telemedicine Value Chain Sustainability 504
4.16 Telemedicine Sustaining Finance Model 506
4.16.1 NHS 507
4.17 Real-Time Remote Medical Diagnosis System (RTRMDS) 508
4.17.1 Tele-pharmacy 508
4.17.2 Electronic Medical Records Detail Drug Information Effectiveness 509
4.17.3 Consumers Increasingly Involved In Treatment Decision-Making 509
4.18 Health Care Monitoring Solutions Technology 510
4.18.1 Health Information Exchange Services 511
4.19 Home-Based Care 513
4.20 Mobile Health Clinics’ 515
4.20.1 Self-Service Kiosks 515
4.20.2 Mobile Health Care 515
4.20.3 Mobile Office a Set Of Commonly Used Mobile Communication Tools 517
4.20.4 Telemedicine Allows Medical Professionals To Consult And Diagnose Patients Remotely 518
4.21 DICOM Index Tracker NDS Surgical Imaging, LLC 520
4.22 Population Growing Older, Medical Costs Rising, Not Enough Doctors 521
4.22.1 Remote Monitoring Device 521
4.23 US Government Tele-Health 522
4.23.1 Telehealth Product Medical Device Regulation In The United States 522
5.Telemedicine / M-Health Company Profiles 524
5.1 Anthem 524
5.1.1 Anthem and IBM 524
5.2 A&D Engineering / A&D Medical 525
5.2.1 A&D Medical Wellness Connected 527
5.2.2 A&D Wellness Connected Online Service 530
5.3 Aerotel Medical Systems 530
5.4 Aetna 531
5.4.1 Aetna Business 531
5.4.2 Aetna 532
5.5 Alcatel-Lucent 533
5.5.1 Alcatel-Lucent Business 534
5.5.2 Alcatel-Lucent Core Networking Segment 535
5.5.3 Alcatel-Lucent Healthcare Solutions 537
5.6 Aliph 538
5.7 American Heart Association (AHA) 538
5.7.1 American Hospital Association Awards University of Rochester
Pediatric Telemedicine Program 539
5.8 American Well 541
5.8.1 American Well Partners 542
5.9 American TeleCare 544
5.10 American Telemedicine Association 544
5.11 Anthem 547
5.11.1 Anthem Revenue by Segment 547
5.11.2 Anthem To Launch National Telehealth Program 549
5.12 Apple 553
5.12.1 Apple Revenue 553
5.12.2 Apple Business Strategy 555
5.12.3 Apple Products 556
5.12.4 Apple iPhone 556
5.12.5 Apple iWatch 557
5.12.6 Apple iPad 558
5.12.7 Apple Mac Hardware Products 558
5.12.8 Apple iPod 559
5.12.9 Apple iTunes® 560
5.12.10 Apple Mac App Store 560
5.12.11 Apple iCloud 561
5.12.12 Apple Software Products and Computer Technologies 561
5.12.13 Apple Operating System Software iOS 561
5.12.14 Apple Mac OS X 562
5.12.15 Apple TV 562
5.13 AT&T 562
5.13.1 AT&T Services and Products 563
5.13.2 AT&T Voice Service – 564
5.13.3 AT&T Innovative Data Services 565
5.13.4 AT&T Business Customers 566
5.13.5 AT&T Business Secure Mobile Threats 566
5.13.6 AT&T Mobile Security 567
5.13.7 AT&T Telehealth 568
5.13.8 AT&T Virtual Care 571
5.13.9 AT&T Telemedicine Cloud Medical Imaging 573
5.13.10 AT&T Imaging in the Cloud 574
5.13.11 AT&T Telemedicine Mobile Viewer 575
5.13.12 AT&T Medical Imaging and Information Management 577
5.14 Athens Regional Home Health In-Home Telemonitoring Services 578
5.15 Authentidate Holding 579
5.15.1 Authentidate Holding ExpressMD™ Solutions Joint Venture 580
5.15.2 Authentidate Regional Service Offerings 582
5.15.3 Authentidate Holding Remote Patient Monitoring Solutions 584
5.15.4 Authentidate Holding VA Plan 584
5.16 Bosch Group 585
5.16.1 Bosch Business Overview 586
5.16.2 Bosch Group 586
5.16.3 Bosch Security Systems Division 587
5.16.4 Robert Bosch Healthcare 588
5.16.5 Robert Bosch Remote Patient Monitoring 589
5.16.6 Bosch Healthcare Telehealth Systems 589
5.16.7 Bosch Healthcare Health Buddy System 592
5.16.8 Bosch Addresses Role of Compliance in Telehealth Adoption 592
5.16.9 Bosch North America Veterans Health Administration 592
5.16.10 Bosch / VRI 596
5.16.11 Bosch Healthcare and GreatCall Partnership 596
5.16.12 Bosch Healthcare - Telehealth And Care Solutions Leading Provider 597
5.16.13 Bosch Group and Health Hero Network 598
5.17 Cardiocom 599
5.17.1 Cardiocom Telemedicine Nurse 601
5.17.2 Cardiocom’s Clinical Services: 601
5.18 Care Innovations: Intel and GE 603
5.19 Cigna 604
5.19.1 Cigna Business 604
5.19.2 Cigna Telehealth Coverage To Self-Insured 605
5.19.3 Cigna / MDLIVE Advances Digital Health 606
5.20 Cisco 608
5.20.1 Cisco Information Technology 609
5.20.2 Cisco Virtualization 610
5.20.3 Competitive Landscape In The Enterprise Data Center 611
5.20.4 Cisco Architectural Approach 612
5.21 Cleveland Clinic 613
5.21.1 Cleveland Clinic HealthSpot to Expand Telehealth Capabilities Through Walk-In Kiosks 613
5.21.2 Cleveland Clinic MyChart 615
5.22 Columbia University’s Informatics for Diabetes Education and Telemedicine 616
5.23 Connections365 616
5.24 Continua 617
5.25 Debiotech 619
5.26 Doctor on Demand 620
5.27 Drager 621
5.27.1 Drager Life Support For Newborn Babies 621
5.27.2 Drager Ventilation – Even When Airborne 622
5.27.3 Drägerwerk AG Revenue Nine Months 2013: 622
5.28 Evident Health Services 624
5.28.1 Evident Health Services (EHS) 626
5.29 FuzeBox 627
5.30 Gemalto / Cinterion 629
5.30.1 Cinterion 629
5.30.2 Gemalto / Cinterion 630
5.30.3 Gemalto / Cinterion Active Member Of The Continua Alliance 634
5.30.4 Gemalto / Cinterion Mobile Health - M2M Telemonitoring 635
5.31 General Electric 636
5.32 GlobalMed 637
5.32.1 Haemonetics. / GlobalMed Technologies. 637
5.32.2 GlobaMed ConnectedHealth Telemedicine 638
5.33 Google 638
5.33.1 Google Competition 639
5.33.2 Google 'Talk With A Doctor Now' Telemedicine Video Chat Service 640
5.33.3 Google Business 641
5.34 GreatCall Healthcare Systems 642
5.35 HealthTap 643
5.36 Home Healthcare Hospice and Community Services (HCS) 643
5.36.1 Home Healthcare Partners (HHP) 644
5.37 Honeywell 645
5.37.1 Honeywell Major Businesses 649
5.37.2 Honeywell: 651
5.37.3 Honeywell Genesis Telehealth Monitors and LifeStream™ Management Suite 652
5.37.4 Honeywell Health Monitoring System 654
5.37.5 Honeywell Health Monitoring System: Health Visiting Nurses Association (VNA) 654
5.37.6 Honeywell Reports Second Quarter 2011 Sales Up 15% to $9.1 Billion 655
5.38 Huawei 656
5.38.1 Performance in 2013 658
5.39 IBM 659
5.37.1 IBM Watson for Healthcare Acquisitions 661
5.37.2 IBM Business Model 662
5.37.3 IBM Strategy 663
5.40 Influence Health 664
5.38.1 Influence Health Acquires BrightWhistle 664
5.41 Intel 666
5.39.1 Intel Revenue by Major Operating Segment 668
5.39.2 Intel Business 668
5.39.3 Intel Company Strategy – Internet of Things 669
5.42 Infopia 673
5.42.1 Infopia of Korea 674
5.43 iRobot 675
5.43.1 iRobot Home Robots: 677
5.43.2 iRobot Defense and Security: Protecting Those in Harm’s Way 677
5.43.3 iRobot Role In The Robot Industry 678
5.44 InTouch 679
5.44.1 InTouch Health FDA 680
5.45 Johns Hopkins Home Telemonitoring 681
5.46 Joslin Diabetes Center / American Well Collaboration / Harvard Medical School 681
5.47 JSC CEM Technology 683
5.48 Kaiser 687
5.49.1 Kaiser 688
5.50 Kiwok 689
5.51 Kyrocera 690
5.51.1 Kyocera DuraMax PTT Phone 690
5.51.2 Kyrocera Product-Line Management Teams 690
5.51.3 Kyocera Chemical Corporation 692
5.51.4 Kyrocera Revenue 692
5.52 LG 693
5.52.1 LG Telemonitoring Smartcare System 693
5.53 LifeMasters 694
5.54 Logitech 695
5.54.1 LifeSize Telepresence 697
5.54.2 Logitech Sales of PC Peripherals In Mature Markets Expected to Decline 697
5.54.3 Logitech Digital Home Category 699
5.54.4 Logitech LifeSize UVC Video Conferencing Infrastructure Platform 699
5.55 Mayo Clinic 701
5.55.1 Mayo Clinic Telehealth 701
5.56 McKesson 702
5.56.1 McKesson Telehospice Technology 704
5.56.2 McKesson / Caris Healthcare 705
5.57 MedApps 707
5.57.1 MedApps Healthpal 707
5.57.2 VRI Selects MedApps HealthPAL MA105to Extend the Home 708
5.57.3 MedApps Comprehensive Health Information Management Platform 711
5.57.4 MedApps' Value Proposition 713
5.58 Medtronic / Cardiocom 714
5.58.1 Medtronic / Cardiocom, Remote Monitor 714
5.59 Montefiore / CMO, the Care Management Company 718
5.59.1 CMO, The Care Management Company 719
5.60 National Committee for Quality Assurance 720
5.61 Nonin Medical, Inc. 720
5.61.1 Nonin Medical AB 721
5.62 NSD / Viterion Corporation 721
5.62.1 NSD Viterion 725
5.63 Partners Healthcare 725
5.63.1 Partners HealthCare Focus Areas: 727
5.63.2 Partners Healthcare Digital Care Delivery 728
5.63.3 Partners Healthcare Patient Segmentation 728
5.63.4 Partners Healthcare Research and Evaluation Team 728
5.63.5 Partners Healthcare Sample Recent Telemonitoring Projects 731
5.63.6 Partners Programs In Heart Failure, Hypertension, Diabetes And Other Chronic Conditions 731
5.63.7 Partners Healthcare Center for Connected Health 733
5.63.8 Partners Healthcare Massachusetts General 734
5.64 Philips 736
5.64.1 Phiips Visicu 737
5.64.2 Philips Addresses Healthcare Landscape 738
5.64.3 Philips/Respironics Monitoring Solution 742
5.64.4 Philips Healthcare 743
5.64.5 Royal Philips Electronics / Respironics 744
5.65 Polycom Acquires HP Telepresence Business 746
5.65.1 Polycom Global Leader In Standards-Based Unified Communications 747
5.65.2 Polycom Cloud-Based UC Solutions 749
5.65.3 Polycom Buys Hewlett Packard Halo/HVEN Network 749
5.65.4 Polycom Partnerships 750
5.65.5 Polycom Mobile UC Solutions 750
5.65.6 Polycom Focused Ecosystem Partnerships 751
5.65.7 Polycom Personal Telepresence Solutions 751
5.66 ProConnections, Inc. 753
5.66.1 ProConnections Telemedicine Systems Enhance the Delivery of Healthcare 753
5.66.2 Proconnections Quality, Solutions 754
5.66.3 ProConnections Medical Consultation Systems 760
5.67 Reach Health, Inc. 760
5.67.1 REACH HealthInc Comprehensive Telemedicine Solution 761
5.67.2 REACH Comprehensive Solutions 762
5.67.3 REACH Health Telemedicine 764
5.67.4 Reach Customers 764
5.68 RS TechMedic BV 764
5.69 Samsung 765
5.69.1 Samsung Leadership In Core Businesses 767
5.69.2 Samsung Medical Business 768
5.70 Sandata Technologies, Inc. 768
5.71 STMicroelectronics 769
5.71.1 Debiotech and STMicroelectronics 769
5.72 Tactio 771
5.73 Teladoc 772
5.73.1 Teladoc De Facto Standard in Telehealth 773
5.73.2 Teladoc Affected by Texas Medical Panel Vote to Limit Telemedicine Practices 775
5.73.3 Texas Board Requires Doctors To Establish A Relationship With
Patients Before Giving A Diagnosis Or Prescribing Drugs 775
5.74 TeleAtrics™ 777
5.75 Trifecta Technologies 779
5.76 TouchPointCare 779
5.76.1 TouchPointCare Strategic Position 781
5.76.2 Touch Point Care / Visiting Angels 782
5.76.3 TouchPointCare Loyola Medical Center 782
5.76.4 TouchPointCare LHC Group 783
5.76.5 TouchPointCare Lexington Health Care 783
5.76.6 TouchPointCare KSB Home Health 783
5.76.7 TouchPointCare Home Care Health Services 783
5.76.8 TouchPointCare Health Contact Partners - Wheeling, IL 784
5.76.9 TouchPointCare Glaxo Smith Kline 785
5.76.10 TouchPointCare Family Home Care 785
5.76.11 TouchPointCare Aurora Health Care 785
5.76.12 TouchPointCare Anderson Hospital Home Health Care 785
5.76.13 TouchPointCare Almost Family/Caretenders 786
5.76.14 TouchPointCare Advocate Home Health 786
5.77 Tunstall Healthcare Group 787
5.77.1 AMAC American Medical Alert Corp. 788
5.78 University of Houston 788
5.79 UST Global 789
5.80 Verizon Technologies 790
5.80.1 Verizon In The Wireless Market 791
5.80.2 Verizon Operates Advanced Broadband Backbone Networks 792
5.80.3 Verizon Owns And Operates Much Of The Infrastructure That Comprises The Internet 792
5.80.4 Verizon Healthcare 793
5.80.5 Verizon Telemedicine Remote Health Monitoring And Virtual Clinics 793
5.80.6 Verizon Telemedicine Access to Telehealth Experts 794
5.81 Veteran’s Administration (VA) 797
5.82 VIDAVO S.A 798
5.83 Virtual Health 799
5.84 Vodafone 800
5.84.1 Vodafone Cloud Features: 800
5.84.2 Vodafone Greece Network 802
5.84.3 Vodafone Greece Products and Services 802
5.84.4 Vodafone Specialized Services And Solutions 803
5.85 VRI 803
5.85.1 VRI Serves 110,000 804
5.85.2 VRI Digi Pal 804
5.85.3 VRI Partnership with Robert Bosch Healthcare 804
5.85.4 VRI Digi Pal Services to Partners 806
5.85.5 VRI 809
5.86 Windstream 809
5.87 Selected Providers for Emergency Medical Care Monitoring 810
Wintergreen Research, 811
WinterGreen Research Research Methodology 812
List of Tables and Figures
Table ES-1 Factors Driving Tele-Medicine Adoption 54
Table ES-2 Tele-medicine Clinical Results 55
Table ES-3 Tele Health Monitoring Problem Solution Aspects 56
Table ES-4 Tele-Medicine Devices for Clinical Tracking of Chronic Disease Market Shares, Dollars,Worldwide, 2014 60
Figure ES-5 Tele-Medicine and M-Health Market Forecasts Market Shipments Forecasts Dollars, Worldwide, 2015-2021 63
Figure 1-1 Remote Monitoring as Standard of Care 66
Table 1-2 Telemedicine Nursing Stations Typical Telemonitoring Questions 77
Table 1-3 Remote Patient Monitoring Device Uses 79
Table 1-4 Clinical Assessment and Response to Alert Provided by Telemonitor 80
Table 1-4 Clinical Assessment And Response To Alert Provided By Telemonitor 81
Table 1-5 Clinical Assessment And Actions Taken To Alert Provided By Telemonitor 82
Table 1-6 Telehealth Solutions Benefits 85
Table 1-7 Monitoring Used To Take Measurements In Homecare Settings 87
Table 1-8 Monitoring Measurement Functions In Homecare Settings 88
Table 1-9 Bosch Recommendations for Innovation Funded By The VA 96
Table 1-10 Intel Health Guide Functions 98
Table 1-11 Intel® Health Care Management Suite of Software Tools 99
Table 1-12 NEJM Letters That Critique The Telemonitoring Study 103
Table 1-13 Physician Notification on CHF Using “SBAR” 107
Table 1-14 US Healthcare Coverage Legislation Functions 111
Table 1-15 FDA Enforcement Actions And Remedies 116
Table 1-16 HIPAA Information Covered Entities 119
Table 1-17 HIPAA Information That Needs to Be Private 120
Table 1-18 HIPAA Information Sharing by Health Care Providers 121
Table 1-19 HIPAA Information Sharing Prohibitions 122
Table 1-20 HIPAA Information Managed via Court Order 123
Figure 1-21 HIPAA Privacy and Security Rule and Compliant Process 125
Table 2-1 Factors Driving Tele-Medicine Adoption 134
Table 2-2 Tele-medicine Clinical Results 135
Table 2-3 Tele Health Monitoring Problem Solution Aspects 136
Table 2-4 Tele-Medicine Devices for Clinical Tracking of Chronic Disease Market Shares, Dollars, Worldwide, 2014 140
Table 2-5 Tele-Medicine Devices and Services for Clinical Tracking of Chronic Disease Market Shares, Dollars, Worldwide, 2014 141
Table 2-6 Telemedicine Video Conferencing Telepresence Market Shares, Dollars, Worldwide, 2014 146
Figure 2-7 Tele-Medicine and M-Health Market Forecasts Market Shipments Forecasts Dollars, Worldwide, 2015-2021 149
Table 2-8 Tele-Medicine and M-Health Market Forecasts Dollars, Worldwide, 2015-2021150
Table 2-9 Telemedicine and M-Health Market Segments, Clinical Tracking of Chronic Disease, Physician Remote Presence, Smart Phone Apps, and Video Conferencing Telepresence, Dollars, Worldwide, 2015-2021 150
Table 2-10 Telemedicine and M-Health Market Segments, Clinical Tracking of Chronic Disease, Physician Remote Presence, Smart Phone Apps, and Video Conferencing Telepresence, Percent, Worldwide, 2015-2021 150
Figure 2-11 Telemedicine Video Conferencing Telepresence Market Shares, Dollars, Worldwide, 2014 158
Table 2-12 Telemedicine Video Conferencing Telepresence Market Shares, Dollars, Worldwide, 2014 159
Table 2-13 Telemedicine Relies on Laboratory Testing to Detect Serious Medical Conditions 161
Table 2-14 Telemedicine Brings Revolution in IT 162
Table 2-15 Telehealth Directly-Managed Physician Network Advice Functions 163
Figure 2-16 Telehealth Remote Presence Telemedicine Market Shares, Dollars, Worldwide, 2014 164
Table 2-17 Telehealth Remote Presence Telemedicine Market Shares, Dollars, Worldwide, 2014 165
Figure 2-18 M-Health Telemedicine Apps Market Shares, Dollars, Worldwide, 2014 166
Table 2-19 M-Health Telemedicine Apps Market Shares, Dollars, Worldwide, 2014 167
Figure 2-20 M-Health Apps Market Forecasts Market Shipments Forecasts Dollars, Worldwide, 2015-2021 168
Table 2-21 M-Health Apps Market Forecasts Market Shipments Forecasts Dollars, Worldwide, 2015-2021 169
Table 2-22 M-Health Apps Market Driving Forces 170
Table 2-23 Healthcare IT Customer Needs and Carrier Service Provider Telemedicine Benefits 178
Table 2-24 Carrier Service Provider Cloud Telemedicine Advantages 179
Table 2-21 Tele-medicine Alarm Devices 196
Table 2-22 Healthcare Decision Support Software Market Shares, Dollars, Worldwide, 2012 197
Figure 2-23 Healthcare Decision Support Software Market Shares, Dollars, Worldwide, 2012 198
Table 2-24 The Medicare Tele-health Originating Site Facility Fee and MEI Increase by the Applicable Time Period 202
Table 2-25 Remote And Wireless Patient Monitoring Device Using Wireless Networks 205
Table 2-26 Tele-Medicine and M-Health Sensor Market Forecasts Dollars, Worldwide, 2013-2019 207
Table 2-27 Tele-Medicine and M-Health Carrier Service Provider Cloud SaaS Market Forecasts Dollars, Worldwide, 2013-2019 209
Table 2-28 Cloud Computing Platform Systems of Engagement Solutions Market Shares, Dollars, Worldwide, 2012 210
Table 2-29 Drivers for the Adoption of Telepresence Solutions 212
Table 2-30 Telemedicine Video Conferencing Telepresence Market Shares, Dollars, Worldwide, 2012 214
Figure 2-31 Congestive Heart Failure (CHF) Patients Worldwide, Forecasts, Number, 2012-2018 217
Figure 2-32 Diabetes Patients Worldwide, Forecasts, Number, 2012-2018 219
Table 2-33 Number of Patients with Disease Conditions Requiring Wheelchairs, By Diagnosis, Number, Worldwide, 2012-2018 220
Figure 2-34 Aging of the Population, 600 Million Elderly Individuals World Wide 224
Figure 2-35 Tele-medicine Challenge: One Billion Adults Over Weight, 86 Million Individuals with Chronic Conditions 226
Figure 2-36 Global Obesity 227
Figure 2-37 Tele-medicine Goal: Improve Lifestyle Choices 228
Table 2-38 US Stroke Incidence Numbers 229
Table 2-39 Physical Therapy Enhances Recovery After Hip Injury 232
Table 2-40 Tele-medicine Market Driving Forces 234
Table 2-41 Tele-Medicine Critical Issues Addressed 237
Table 2-42 Tele-medicine Adoption Rate Issues And Concerns 238
Figure 2-43 Tele-medicine Market Factors 239
Table 2-44 Tele-Medicine Program Benefits 245
Figure 2-45 Telemedicine and M-Health Regional Market Segments, 2014 253
Table 2-46 Telemedicine and M-Health Regional Market Segments, 2014 254
Table 2-47 Tele-medicine Adoption Rate Issues And Concerns 255
Figure 3-1 Bosch Health Buddy 256
Table 3-2 Bosch Health Buddy Patient Conditions Monitoring 257
Figure 3-3 Bosch Health Buddy System 258
Figure 3-4 Bosch Health Buddy Workflow Workflow 260
Table 3-5 Bosch Health Buddy System Workflow 261
Figure 3-6 Bosch Health Buddy System for Diabetes 265
Table 3-7 Bosch Health Buddy System Components 266
Figure 3-8 Bosch Health Buddy Decision Support Dashboard and Heat Map 268
Figure 3-9 Bosch Decision Support 269
Table 3-10 Bosch Healthcare Telemedicine Solution 270
Table 3-11 Bosch Health Buddy System Patient Uses for Custom Messaging 273
Table 3-12 McKesson / Bosch Telemedicine Advisor Benefits 277
Table 3-13 McKesson / Bosch Telemedicine Advisor Features 278
Figure 3-14 Viterion Provides Value by Reducing Bed Days by 50%, and by Reducing Hospital Admissions by 35% 282
Figure 3-15 Viterion Provides Value by Connecting Patients To Their Caregivers 283
Figure 3-16 Viterion Improves Healthcare Delivery Affordability 284
Figure 3-17 Viterion Digital Health Vitacast 1000 Telemedicine Device Individualized Features 285
Figure 3-18 Viterion Digital Health Vitacast 1000 Telemedicine Target Markets 286
Figure 3-19 Viterion Vitacast 1000 Patient Device 287
Table 3-20 Viterion Vitacast 1000 Partner Benefits 288
Figure 3-21 Value VA Derives From Viterion Telehealth Solutions 290
Figure 3-22 Viterion Telehealth Solutions Functions 291
Table 3-23 Viterion Tele-medicine UK Department of Health (DOH) Initial Findings from Whole System Demonstrator (WSD) Program 292
Figure 3-24 Viterian Wireless Vital Sign Monitor Patient Benefits 293
Figure 3-25 Viterion Telehealth System 294
Table 3-26 Viterion Telemedicine Monitor Measurement Of Vital Signs: 295
Table 3-27 ViterionNET Administrator Features: 296
Table 3-28 ViterionNET Healthcare Provider Features: 297
Table 3-29 Honeywell Lifestream Manager Functions 302
Table 3-30 Honeywell Lifestream Telemedicine Manager Features 305
Table 3-31 Honeywell Chronic Disease Conditions Monitoried For Remote Patients 309
Table 3-32 Honeywell Genesis Touch Key features 314
Table 3-33 Honeywell Homemed Health Monitoring System Vital Signs Features 316
Table 3-34 Honeywell Homemed Health Monitoring System Features 317
Table 3-35 Honeywell Homemed Health Monitoring Med Partner System Features 318
Table 3-36 Honeywell Homemed Health Monitoring System Criteria for Monitoring 319
Table 3-37 Honeywell Health Monitoring System Functions 320
Table 3-38 Honeywell Recommended Criteria for Monitoring 321
Figure 3-39 Care Innovations Telemedicine Tablet Device 326
Figure 3-40 Care Innovations Telemedicine Devices 327
Figure 3-41 Care Innovations Telemedicine Monitoring Blood Pressure 328
Figure 3-42 Care Innovations Telemedicine Monitor Screen 329
Figure 3-43 Care Innovations Telemedicine Video Conferencing 330
Figure 3-44 Care Innovations Telemedicine Monitor 332
Figure 3-45 Medtronic / Cardiocom Telehealth Call Centers Supported 334
Table 3-46 Features Of Cardiocom Commander Flex : 336
Figure 3-47 Cardiocom Telescale 338
Table 3-48 Cardiocom Telescale Features: 340
Figure 3-49 Cardiocom Glucocom & Autolink 341
Table 3-50 Cardiocom’s Diabetes Management System Features: 342
Figure 3-51 Cardiocom Teleresponse 343
Table 3-52 Cardiocom Teleresponse™ Features 344
Figure 3-53 Cardiocom Net response 345
Table 3-54 Cardiocom Netresponse Devices Supported 346
Table 3-55 Cardiocom Netresponse Features: 347
Figure 3-56 Cardiocom Linkview 348
Table 3-57 Cardiocom Linkview Features: 349
Figure 3-58 Philips Telehealth System 351
Figure 3-59 Philips Secure Telemedicine Data Infrastructure 353
Table 3-60 Philips HeartStart Telemedicine Benefits for Receiving Hospitals 361
Table 3-61 Philips HeartStart Telemedicine Benefits for EMS 362
Table 3-62 Application Server: Systems Integration Features 363
Table 3-63 Philips IntelliVue Application Server Functions 364
Table 3-64 Value of Philips Home Telemonitoring 367
Figure 3-65 Philips Decision Support for Home Telemonitoring 368
Figure 3-66 Global Med WallDoc® 369
Table 3-67 GlobalMed’s WallDoc® Solution Benefits 370
Figure 3-68 GlobalMed Telemedicine Carts | Mobile Medical Stations 371
Table 3-69 GlobalMed Mobile Medical Carts LiteExam Features 373
Table 3-70 374 GlobalMed Mobile Medical Carts LiteExam Benefits 374
Figure 3-71 GlobalMed Telemedicine Cart Components 376
Figure 3-72 GlobalMed Telemedicine Carts Mobile Medical Stations 377
Figure 3-73 GlobalMed Telemedicine Cart | Mobile Medical Station 378
Figure 3-74 GlobalMed i8500 Teleaudiology Station 380
Figure 3-75 GlobalMed Telehealth Cameras 382
Figure 3-76 GlobalMed TotalExam™ HD Examination Camera 384
Figure 3-77 TotalExam™ Examination Camera 385
Figure 3-78 GlobalMed iREZ® i5770 PTZ Camera 386
Table 3-79 CDAC MercuryTM Web Telemedicine Features 392
Table 3-80 MERCURYTM Web Telemedicine Parameters 393
Figure 3-81 Mercury Web Telemedicine 394
Table 3-82 Cisco HealthPresence Functions 396
Figure 3-83 Cisco TelePresence System 3200 Series 397
Table 3-84 Cisco TelePresen ce System 3200 Functions: 398
Figure 3-85 Cisco Hospital Video Surveillance 399
Table 3-86 Polycom h Closes Distance Barriers 402
Figure 3-87 Polycom Telehealth 403
Figure 3-88 Polycom RealPresence Cloud Collaboration Center 404
Table 3-89 Polycom Real Presence Cloud Collaboration Center Features 405
Table 3-90 Polycom RealPresence Cloud Collaboration Center Two Seater Components 406
Table 3-91 Polycom RealPresence Cloud Collaboration Center Four Seater Components 407
Figure 3-92 Vidyo Conferencing Extending the Reach Of Healthcare 412
Figure 3-93 Vidyo™ Telehealth Solutions 413
Figure 3-94 Vidyo™ Telemedicine Solutions 414
Table 3-95 Vidyo for Healthcare Applications: 416
Figure 3-96 Vidyo API 417
Figure 2-97 Telemedicien Healthcare Workflow Management 422
Table 3-98 Huawei Telemedicine Development Benefits: 423
Table 3-99 FDA Cleared Mobile Medical Applications Last updated (February 17, 2015) 426
Table 3-100 FDA Apps Examples of MMAs Regulated 436
Figure 3-10 MedApps HealthPAL 440
Figure 3-101 iRobot Autonomous Navigation Robot 450
Table 4-1 New England Journal of Medicine (NEJM) Sarwat I. Chaudhry, M.D Telemonitoring Research and Letters That Critique The Study 456
Table 4-2 Evident Health Services Target Patient Metrics, Best Practice Targets Blood Pressure, Blood Lipids 470
Table 4-2 Evident Health Services Target Patient Metrics, Best Practice Targets Blood Pressure, Blood Lipids 471
Table 4-3 Evident Health Services Target Patient Metrics, Best Practice Obesity and Insulin Targets 472
Table 4-4 Partners Healthcare Tele-Monitoring Benefits 474
Figure 4-5 Medtronic CareLink Disease Management 475
Figure 4-6 Medtronic Device Monitoring and Disease Management 476
Figure 4-7 Device Follow-up and Disease Management 477
Figure 4-8 Medtronic Cardiac Implantable Device Monitoring Heart Failure Guidelines 478
Figure 4-9 Viterion Device for Tele-Health Monitoring 482
Figure 4-10 Continua Interfaces and Standards for Telemedicine 493
Figure 4-11 Continua Telemedicine Ecosystem Development 494
Figure 4-12 Continua Personal Connected Healthcare Solution 496
Figure 4-13 Payer Impact on Telemedicine 498
Figure 4-14 PPACA Telemedicine Quality Improvement 499
Figure 4-15 Philips Telemedicine Operating Model 500
Table 4- 16 Healthcare Education: Value Categories and KPIs 501
Table 4-17 Telemedicine Accessibility Functions 503
Table 4-18 Healthcare Delivery In A Community Context 504
Table 4-19 Health Information Exchange services Example Solutions 511
Table 4-20 Health Information Exchange Services Benefits 512
Table 4-21 Home-Based Care Telemedicine Benefits 514
Table 4-22 Mobile Health Care Solution 516
Table 4-23 Mobile Office Solutions 517
Table 4-24 Telehealth Readiness Assessment System Functions 519
Table 5-1 A&D Positioning: 526
Figure 5-2 A&D Wellness Connected Solutions 528
Figure 5-3 A&D Wellness Connected Wireless Precision Scale 529
Figure 5-4 A&D Wellness Connected Wireless Blood Pressure Monitor 529
Figure 5-5 Apple iWatch 557
Table 5-6 AT&T Mobile Security Benefits 567
Table 5-7 AT&T Virtual Care Benefits 572
Table 5-8 AT&T Imaging in the Cloud Benefits: 575
Figure 5-9 AT&T Medical Imaging and Information Management 577
Table 5-13 Authentidate Holding Positioning and Risks 583
Table 5-14 Cardiocom Patient Conditions For Telemonitoring And Disease Management 600
Figure 5-15 Continua Telemedicine Board Members 617
Figure 5-16 Continua Telemedicine Promoter Members 618
Figure 5-17 Continua Telemedicine Challenges 619
Table 5-18 Key Components of Evident Health Services Methodology 625
Table 5-19 Key Components of Evident Health Services Collaboration 626
Table 5-20 Gemalto / Cinterion Wireless Module Functions 633
Figure 5-21 Cinterion Global Interoperable Personal Health Solutions Architecture 634
Figure 5-22 Gemalto / Cinterion Wireless Data Transmission 635
Table 5-24 Honeywell Genesis Touch Key features 653
Table 5-25 Huawei Enterprise Business Overview 658
Table 5-26 IBM Business Goals 662
Table 5-27 Intel Enables Energy-Efficient Performance, Connectivity, And Securitywith Innovation 670
Table 5-28 Intel Enables -Efficient Performance Compuuting Innovation 671
Table 5-29 JSC CEM Technology 684
Table 5-30 CEM®-ThermoDiagnostics Personal Thermograph Target Audience and Aims 685
Table 5-31 Personal thermograph “CEM®-ThermoDiagnostics” for Professional And Domestic Use 686
Table 5-32 Prices for СЕМ®-ThermoDiagnostics Personal Thermograph: 687
Figure 5-33 Kaiser Thrive Campaign 688
Table 5-34 Kaiser Services 689
Figure 5-35 691 Kyrocera Chemical Business 691
Table 5-36 Logitech LifeSize UVC Platform Features 700
Table 5-37 Mayo Clinic Services 702
Table 5-38 McKesson Telehealth Advisor Critical Issues Addressed 704
Table 5-39 McKesson Telehealth Advisor Clinical Results 704
Table 5-40 MedApps Products 710
Table 5-41 MedApps System Features 712
Figure 5-42 Medtronic EMR Systems 716
Figure 5-43 Medtronic Carelink Value Propositions 717
Figure 5-44 NSD Target Field e Finance and Insurance Sectors 722
Table 5-45 Partners Healthcare Connected Health Consulting Services 730
Table 5-46 Partners Healthcare Heart Failure, Hypertension, Diabetes And Chronic Condition Programs 732
Table 5-47 Philips Positions To Simplify Global Healthcare Delivery For The Long Term 740
Table 5-48 Philips Healthcare Delivery Product Positioning 741
Figure 5-49 ProMCS-3000 Medical Consultation System 755
Table 5-50 ProConnections Technical Specifications 756
Figure 5-51 Samsung Revenue By Segment 766
Table 5-52 Tactio Health Group mHealth and BYOD Models 771
Table 5-53 TeleAtrics™Childcare Center Features 778
Table 5-54 TouchPointCare 780
Table 5-55 TouchPointCare Goals 781
Figure 5-56 Verizon University of Virginia Remote Telemedicine Program 796
Table 5-57 Vidavo Positioning 798
Figure 5-58 Virtual Health Population Health Management Platform 799
Table 5-59 Vodafone Cloud Features 801
Table 5-60 VRI Units Monitored 806
Table 5-61 VRI Services to Partners 807
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