Homecare Information Software and Services Market Shares, Strategies, and Forecasts, Worldwide, 2010 to 2016

LEXINGTON, Massachusetts (January 1, 2010) – Announces that it has a new study on homecare information software and services. The 2010 study has 497 pages, 184 tables and figures. Worldwide markets are poised to achieve significant growth as the healthcare providers worldwide move to more cost efficient healthcare modalities. Vendors are building out localized direct sales organizations, distribution partnerships, and e-commerce sites that support a home care information systems brand in every region.

Homecare is more cost efficient than nursing home or hospital care, every patient would rather stay at home if possible. As new homecare agencies proliferate in the U.S. and worldwide, one-third of homecare agencies in U.S. markets have closed or been acquired in the past five years due to the economic downturn and lack of profitability.

Challenged with declining reimbursements, a nursing shortage and low productivity even as new agencies open, there has been significant industry consolidation. Automated process brought by homecare information systems addresses management team issues. Existing providers need to improve overall operations to address these issues.

Several new studies provide large-scale, independent, quantified proof of the value of healthcare information technology have. Users can utilize the scheduling notes to alert other staff of patient preferences or supplies needed in the home. Maestro intuitive process flow provides users with many reminders, including when a patient is out of orders, when a supervisory visit is required, or when a procedure needs to be completed during a visit.

Information systems are 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. The market opportunity for the homecare information services providers is to enable consolidation of the 35,000 small agencies worldwide into a few large services providers. These few services providers then become customers for the homecare information services systems. Homecare information systems will be enhanced by partnerships with IBM to leverage information analytics systems.

Worldwide homecare information systems markets at $2 billion in 2009 are expected to reach $4.8 billion by 2016. Constraints on home healthcare spending in some types of coverage are more than offset by a shift away from nursing home care to assisted living homecare.
 

Report Methodology

This is the 424 st report in a series of market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth is a priority in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and proprietary data bases.

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The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.

Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.

Over 200 in depth interviews are conducted for each report with a broad range of key participants and industry leaders in the market segment. We establish accurate market forecasts based on economic and market conditions as a base. Use input/output ratios, flow charts, and other economic methods to quantify data. Use in-house analysts who meet stringent quality standards. Interviewing key industry participants, experts and end-users is a central part of the study. Our research includes access to large proprietary databases. Literature search includes analysis of trade publications, government reports, and corporate literature.

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

The base year for analysis and projection is 2009. With 2009 and several years prior to that as a baseline, market projections were developed for 2010 through 2016. These projections are based on a combination of a consensus among the opinion leader contacts interviewed combined with understanding of the key market drivers and their impact from a historical and analytical perspective. The analytical methodologies used to generate the market estimates are based on penetration analyses, similar market analyses, and delta calculations to supplement independent and dependent variable analysis. All analyses are displaying selected descriptions of products and services. This research includes referencde to an ROI model that is part of a series that provides IT systems financial planners access to information that supports analysis of all the numbers that impact management of a product launch or large and complex data center. The methodology used in the models relates to having a sophisticated analytical technique for understanding the impact of workload on processor consumption and cost.

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

HOMECARE INFORMATION SYSTEMS EXECUTIVE SUMMARY ES-1
Homecare Cost Efficient, Effective Care Delivery ES-1
Homecare Information Systems Market Shares ES-3
Homecare Information Systems Market Forecasts ES-5

1. HOMECARE INFORMATION SYSTEMS MARKET DESCRIPTION
AND MARKET DYNAMICS 1-1
1.1 Home Health Care 1-1
1.1.1 Home Health Quality Care 1-5
1.1.2 Medicare 1-12
1.1.3 Medicaid 1-13
1.2 Home Care Services Payors 1-16
1.2.1 Self-pay 1-17
1.2.2 Public Third-party Payors: Medicare 1-17
1.2.3 Public Third-party Payors: Medicaid 1-18
1.2.4 Public Third-party Payors: Older Americans Act (OAA) 1-19
1.2.5 Veterans Administration 1-19
1.2.6 Social Services Block Grant Programs 1-20
1.2.7 Community Organizations 1-20
1.2.8 Private Third-party Payors 1-20
1.3 Types of Home Care Agencies 1-21
1.3.1 Nursing care 1-22
1.3.2 Physical therapy 1-22
1.3.3 Occupational therapy 1-22
1.3.4 Speech therapy 1-23
1.3.5 Social workers 1-23
1.3.6 Home health aides/home care aides 1-23
1.3.7 Homemaker/Attendant Care 1-23
1.3.8 Volunteers 1-24
1.4 Homecare Information System Software Market Shifts 1-25
1.4.1 Characteristics Particular To The Homecare
Information System Market 1-28
1.4.2 Implementation Depends On Documentation
Of Each Discipline Needs 1-29
1.4.3 Home Care Services Billing Issues 1-29
1.4.4 Prospective Payment System (PPS) 1-31
1.4.5 Managed Care Requirements 1-31
1.4.6 Oasis Home Health Agencies 1-34
1.5 Need For Automation Of Home Care Companies 1-34
1.6 Homecare Information Technology Industry 1-36
1.6.1 History Of Low Investment In Healthcare
Information Technology 1-38
1.6.2 Market Driving Forces For Worldwide
Homecare Information Systems 1-39
1.6.3 Treatment Trends 1-39
1.6.4 Home Healthcare Delivery Industry 1-41
1.6.5 Competition Forms Basis Of U.S. Medical
Care Services Delivery 1-41
1.6.6 Science And Medical Technology 1-42
1.7 Benefits Of Home Care 1-43
1.7.1 Home Health Saves Medicare Billions 1-45
1.8 Demographic Trends Driving Home Care 1-47
1.8.1 Mainstreaming Of People With Disabilities 1-47
1.8.2 Recovery And Active Lifestyles Of Disabled
Portion of the Population 1-48
1.9 Healthcare Equipment Industry 1-49
1.9.1 Reimbursement Drives Healthcare Equipment Industry 1-50
1.9.2 Home Medical Equipment Industry Segments 1-51
1.10 Marketing Globally 1-53
1.10.1 U.S. Healthcare Delivery Industry 1-55
1.10.2 Competition Forms Basis Of U.S. Medical Care
Services Delivery 1-56
1.10.3 European Homecare Market Trends 1-57
1.11 Hospital and Home Care Services Billing Issues 1-58
1.11.1 Managed Care Requirements 1-60
1.12 Market Drivers For Healthcare Cost Containment 1-63
1.12.1 Managed Care Organization Impact 1-64
1.12.2 Reasons Home Health Care Has Gained Wide-
Spread Acceptance 1-64
1.12.3 Managed Care Change In The Healthcare Industry 1-65
1.12.4 Homecare For People With Long Term Disabilities 1-65
1.12.5 Health Care Cost Containment Trends 1-66
1.12.6 Medicare Reimbursement Guide for Power
Wheelchair Drive Control Systems 1-66
1.12.7 Managed Care Organization Impact 1-67
1.13 Reasons Home Health Care Has Gained Wide-
Spread Acceptance 1-67
1.13.1 Managed Care Change In The Healthcare Industry 1-68
1.13.2 Homecare For People With Long Term Disabilities 1-68
1.14 Worldwide Homecare Information Systems
Market Distribution 1-69
1.14.1 Delivery Of Non-Acute Health Care 1-69
1.14.2 Leveraging Distribution Channels 1-70
1.14.3 Worldwide Homecare Information Systems
Market Positioning 1-70
1.15 Increased Need For Information Technology 1-72
1.15.1 Medical Error 1-73
1.16 Shortcomings Of Traditional Healthcare
Information Systems 1-73
1.17 Homecare Information Systems Market Strategy 1-75
1.17.1 Integrated Healthcare Information Technology Solutions 1-76
1.17.2 Flexible Product-Delivery Options 1-76
1.17.3 Leveraging Existing Customer Base 1-77
1.18 Homecare Information Systems Market Trends 1-78
1.18.1 Clinician Support For Spending Less Time At The
Desktop And More Time Taking Care Of Patients 1-80

2. HOMECARE INFORMATION SYSTEMS AND SERVICES, MARKET
SHARES AND FORECASTS 2-1
2.1 Homecare Agencies 2-1
2.2 Homecare Information Systems Market Shares 2-6
2.2.1 Allscripts Homecare / Misys Healthcare Systems' 2-9
2.2.2 McKesson Horizon Homecare Information Systems 2-9
2.2.3 Cerner BeyondNow 2-10
2.2.4 Meditech 2-10
2.2.5 Meditech / Patient Care Technologies 2-11
2.2.6 Allscripts Homecare 2-12
2.2.7 Siemens Health Services / Home Health Solutions 2-12
2.2.8 Fujitsu Homecare Information Systems 2-13
2.2.9 GE Centricity® Solutions 2-13
2.2.10 Lewis’ Financial Services Division 2-14
2.2.11 Login Soft 2-15
2.2.12 Santrax 2-15
2.2.13 ContinuLink Cloud SaaS Solutions 2-16
2.2.14 Procura Home Care Across the Continuum of Care 2-16
2.3 Homecare Information Systems Market Forecasts 2-17
2.3.1 Homecare Information Systems, SOA, Tablet Devices, and
Wireless Handset Market Forecasts 2-19
2.4 Services Oriented Architecture (SOA) Homecare Systems
Market Shares, First Three Quarters 2009 2-22
2.4.1 Services Oriented Architecture (SOA) Homecare Systems Market Shares 2-22
2.4.2 IBM SOA Business Integration Foundation Systems 2-25
2.4.3 IBM WebSphere Service Registry and Repository 2-25
2.4.4 Tibco Services Oriented Architecture SOA 2-26
2.4.5 Microsoft SOA Application Platform 2-26
2.4.6 Microsoft Application Platform.NET Framework 2-26
2.4.7 Services Oriented Architecture (SOA) Homecare Systems Market Forecasts 2-27
2.4.8 Homecare Information Service Orientated Architecture (SOA) Market Forecasts 2-28
2.5 Home Medical Information Systems Market Segments 2-34
2.5.1 3G and 4G Handheld Wireless Devices 2-38
2.5.2 Use Of POC Technology In Homecare 2-41
2.6 Home Medical Consolidated Information Systems Market Driving Forces 2-42
2.7 Homecare Services Oriented Architecture Market Driving Forces 2-44
2.7.1 Services Oriented Architecture (SOA) Components 2-45
2.7.2 SOA Middleware Means That Information Can Be Left Where It Is
And Operated On From That Place 2-48
2.7.3 Services Oriented Architecture (SOA) Market Driving Forces 2-50
2.8 Technological Trends Impact on Demand for Homecare Services 2-54
2.8.1 Benefits of Integration Solutions 2-54
2.9 Number Of Home Healthcare And Hospice Agencies 2-56
2.10 Geographical Segments 2-57
2.11 Healthcare Industry Shifts 2-58

3. HOMECARE SOFTWARE PRODUCT DESCRIPTION 3-1
3.1 McKesson HBOC 3-1
3.1.1 McKesson Homecare Systems Improve Patient Outcomes 3-2
3.1.2 McKesson Horizon Homecare™ Documentation Applications 3-3
3.1.3 McKesson Home Care Solutions 3-6
3.1.4 McKesson Horizon Homecare Advanced Clinical Software 3-10
3.1.5 McKesson Horizon Clinical Guideline Terms
And Components 3-13
3.1.6 McKesson Horizon HomeCare ROI 3-16
3.1.7 Allscripts Homecare 3-17
3.1.8 Allscripts Homecare Software 3-18
3.1.9 Allscripts Home Care Claims Reimbursement 3-22
3.1.10 Allscripts Field Personnel Access To Clinical
Data At The Point Of Care 3-23
3.1.11 Allscripts Clinical 3-23
3.1.12 Allscripts OASIS 3-24
3.1.13 Allscripts Library Of Interdisciplinary,
Problem-Related Care Plans 3-25
3.1.14 Allscripts Keeps Patient Care On Track. 3-25
3.1.15 Allscripts Homecare Scheduling 3-26
3.1.16 Allscripts Homecare Software Modules 3-28
3.1.17 Allscripts Homecare Billing 3-29
3.1.18 Allscripts Homecare Billing Reporting 3-32
3.1.19 Allscripts Homecare Reporting Features 3-33
3.1.20 Allscripts Telemonitoring 3-34
3.1.21 Allscripts Homecare Speeds and Simplifies
Physician Review And Approval Of Orders 3-35
3.1.22 Allscripts Homecare Physicians Portal Module 3-37
3.1.23 Allscript