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Telemedicine Monitoring: Market Shares, Strategies, and Forecasts, Worldwide, 2012 to 2018

NEW YORK, May 3, 2012 /PRNewswire/ -- announces that a new market research report is available in its catalogue:


Telemedicine Monitoring: Market Shares, Strategies, and Forecasts, Worldwide, 2012 to 2018


Left to their own judgments, some patients typically are apt to make terrible decisions relating to their personal health either because of ignorance, genetic inheritance, or because of lifestyle habit. The ability to accurately access patient condition via a combination of advanced testing and telemonitoring creates the opportunity to intervene when what is called for clinically can make a difference, and permits provision for education regarding healthy living in a way that is likely to create compliance with clinician recommendations.

Home telemonitoring programs need to use advanced technology. Effective monitors support patient education. They support timely clinician intervention based on real vital signs data gathered on a daily basis. Health care for patients with congestive heart failure has been shown to be successful in reducing hospitalizations and trips to the emergency department, making these critical measures unnecessary in many cases.

Home patient monitoring means two things: the imminent rise of the expert patient whom the health authorities anticipate would self-manage his long-term medical conditions and the prominence of mobile devices as the go-between for clinicians and patients.

Telemedicine markets are emerging software markets. The consumer tablet computers are poised to become ubiquitous and inexpensive. As this happens telemedicine is becoming a fee for services much as a cell phone. The software runs on industry standard tablet computing devices. Clinicians gather patients information on a daily basis and provide consultation and intervention as needed for chronic conditions. Telemedicine now delivered on proprietary devices is becoming obsolete. The Honeywell / Samsung strategic alliance represents the model that works. Telemedicine market analysis indicates that the price points are way below device costs and that companies are seeking to gain market share by working with clients.


Telemedicine device and software companies recognize that their revenue stream will come from services delivery. Just as cell phones are paid for in conjunctions with the services contracts, so also the telemedicine applications will be 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.

The telemedicine in the home is cheaper than the consequent emergency room visits and hospitalizations that occur if chronic conditions are ignored. There is a certain inevitability related to chronic disease condition care delivery. People that take care of themselves tend to stay healthy. People that are not attentive to protecting their health tend to have medical conditions that contribute to deteriorating health and benefit from early intervention when it is delivered in a manner to which the person can relate. Telemedicine is, at its core, a way to extend clinical services to make them part of lifestyle consultation. . It provides a way to initiate two way communications with a patient, forever changing the doctor – patient relationship to a collaborative one. It means that physicians need to build collaboration skills or delegate those to their nurses which they have always done, but this time in a more effective manner, on that is supported by technology.


Telemedicine systems come from Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems. Tablets are poised to change telemedicine as are telepresence systems from Logitech among others. Clinical diagnosis is being impacted by the decision support systems. Clinical decision support systems (CDSS) have been a key aspect of telemedicine. Bosch offers the ability to track and update on a daily basis, questions that are able to address actual situations that patients face.


Diagnostic support expert systems promise to revolutionize healthcare. The mandated electronic health record (EHR) systems in all healthcare facilities, is a key enabler of diagnostic support expert systems.


The objectives are to promote better and cheaper healthcare using diagnostic support based on the patient data collected from the telemedicine systems. With the large amount of new data collected by the newly installed EHR systems, computers like the Watson will be able to find optimal answers to clinical questions much more efficiently than the human mind.

Two major categories are diagnostic support tools and treatment support tools. Chronic conditions requires continuous diagnostic support because a continuous flow of information on patient change in conditions helps physicians make a better diagnosis based on the patient symptoms, medications, and medical records.


Treatment support helps clinicians stay compliant with known treatment guidelines such as avoiding known drug interactions, dispensing the right medication to the right patients, and staying on schedule with response to changes in patient condition.


According to Susan Eustis, lead author of the WinterGreen Research team that prepared the telemedicine market research study, "Differential diagnostic tools support differential telemedical treatment. The decision process take into account clinical findings form the home monitoring devices and from symptoms verbally communicated in a clinical services implementation."


She continued, "Care delivery is enhanced by having clinicians be responsive to changes in patient condition that we know will lead to further patient deterioration if not treated immediately. A core part of responsible healthcare delivery is to use technology for healthcare reform. There is a focus on how to deliver care differently using telemedicine. No matter who pays for it, the use of telemedicine is anticipated to reduce the overall costs of healthcare delivery. Innovation is key to achieving improvements."

For long-term success, telehealth solutions require sustainable financing models. Investments in telehealth technologies foster sustainability by enabling productivity and efficiency gains and other improvements that can more than justify investment costs.

Government and local authorities have long recognized the potential of telehealth technology as a tool for delivering health and social care services. This is an increasing imperative given the increasing age demographic and the backdrop of static or reducing funding. Telehealth initiatives must demonstrate credibility and viability beyond the pilot and trial programs in order to achieve the goal of increased capability through technology.

Device installer partners define benefits in terms of increased sales and consultancy. A sustaining finance model is an essential aspect of telehealth. Telemedicine is analogous to the telecommunications industry where a large upfront investment is required an, usage models and complementary technologies must emerge and finally they must be integrated into existing healthcare service delivery paradigms.


Workflows are required to integrate the telehealth components into the existing solutions. This is possibly the area of greatest challenge. Upfront costs are high. Once the telehealth solution has been implemented initiatives are cost effective.


Since insurance companies have the responsibility for taking care of all people, not just the healthy ones and the health conscious people, they benefit from encouraging the use of telemedicine. The US veterans' administration recognizes this reality and has in place extensive telemedicine programs. While some hospitals benefit from an increase in hospitalizations, insurers do not.


There is a services component to the business that makes it attractive to sell the devices below cost. The tablet market revolutionizes telemedicine.

Once FDA approved software runs on a tablet, people with an existing unit can download software and be equipped with a way to interact with the clinical service that performs monitoring. Long term, the services will be a very attractive part of telemonitoring.

Telemedicine dedicated device and software markets at $736 million in 2011 are anticipated to reach $2.5 billion by 2018. Table devices typically cost $350 in 2011, with the average price of the software at $75 per unit. This means there is a services business that will pay for the devices over time.


WinterGreen Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market, Research and Markets, Bloomberg, and Thompson Financial.


Market Leaders


Bayer HealthCare / Viterion TeleHealthcare Philips

Care Innovation / Intel® GE Care Innovations Bosch Group


Market Participants


A&D Engineering / A&D Medical

Aerotel Medical Systems

American Heart Association (AHA)

American TeleCare

American Telemedicine Association



Athens Regional Home Health In-Home Telemonitoring Services

Authentidate Holding


Bayer AG / Bayer HealthCare


Bosch Group


Care Innovations: Intel and GE

Columbia University's Informatics for Diabetes Education and Telemedicine




Evident Health Services


Gemalto / Cinterion

Home Healthcare Hospice and Community Services (HCS)



Johns Hopkins Launch Home Telemonitoring Education Initiative

JSC CEM Technology




Logitech / LifeSize




Montefiore / CMO, the Care Management Company

National Committee for Quality Assurance

Nonin Medical, Inc.

Partners Healthcare

Partners Healthcare Center for Connected Health


ProConnections, Inc.

REACH Health, Inc.

RS TechMedic BV


Sandata Technologies, Inc.



Trifecta Technologies


Tunstall Healthcare Group

AMAC / Intel® Health Guide

University of Houston

Verizon Technologies

Veteran's Administration (VA)


Virtual Health





Report Methodology



This is the 508th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are priorities 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.


The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so WinterGreen Research looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.

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 2010. With 2010 and several years prior to that as a baseline, market projections were developed for 2011 through 2017. 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.


WinterGreen 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.


The variables and assumptions provided in the market research study and the ROI models are based on extensive experience in providing research to large enterprise organizations and data centers. The ROI models have lists of servers from different manufacturers, Systems z models from IBM, and labor costs by category around the world. This information has been developed from WinterGreen research proprietary data bases constructed as a result of preparing market research studies that address the software, energy, healthcare, telecommunicatons, and hardware businesses.


Check Out These Key Topics



Chronic heart failure


Chronic heart disease




CMS Telemonitoring

Heart disease treatment efficacy

Care Management


Health Buddy System

Medicare Monitoring

Remote patient monitoring

Heart failure mortality

Health economics

Heart Failure

Heart Diseases

Cardiovascular Diseases

Behavior CHF patient

Behavior Modification


Hypertension monitoring

Chronic heart disease telemonitoring

Health care delivery efficacy

Chronic Diseases Monitoring

Health Services and Systems



Health Monitoring

Health Communication


Monitoring Technology

Health engagement

Medical innovation

Mobile health

Remote health monitoring

Clinical communication

Medical communication




Remote medical support


Seniors and health

Diabetes Monitoring


Remote patient monitoring

Chronic heart failure mortality

health economics

Heart Failure

Heart Diseases

Cardiovascular Diseases

Quality of Care

American Medical Group Association

Department of Veterans Affairs telemonitoring

Chronic disease management

Health Buddy System Healthcare telemonitoring

Medicare telemonitoring

Bosch telehealth,

Treatment Monitoring




Table of Contents


Telemedicine Executive Summary


The study is designed to give a comprehensive overview of the telemedicine equipment market segment. Research represents a selection from the mountains of data available of the most relevant and cogent market materials, with selections made by the most senior analysts. Commentary on every aspect of the market from independent analysts creates an independent perspective in the evaluation of the market. In this manner the study presents a comprehensive overview of what is going on in this market, assisting managers with designing market strategies likely to succeed.


Telemedicine Executive Summary ES-1

Telemedicine Market Driving Forces ES-1

Telemedicine IBM Watson, Honeywell, Vitarian, and Bosch

Diagnostic Support Expert Systems ES-3

Telemonitoring Market Driving Forces ES-9

Measures of Tele Monitoring Effectiveness ES-10

Home Patient Monitoring Supports Patient Education ES-11

Wireless Telemonitoring Devices ES-11

Real-Time Monitoring Of Physiological Data ES-13

Telemedicine Market Shares ES-14

Telemedicine Market Forecasts ES-16


Telemedicine Market Description and Market Dynamics


Telemedicine Market Description and Market Dynamics 1-1

1.1 Remote Monitoring as Standard of Care 1-1

1.1.1 Telemonitoring Systems Premise 1-3

1.1.2 Sedentary Get Exercise And Heart Failure Patients Pay Attention To Swelling In Their Feet, Ankles Or Legs 1-3

1.1.3 Telemonitoring Systems Improve Home Health Care 1-4

1.1.4 Vital Signs And Health Status Are Measured Daily 1-5

1.1.5 Telemonitoring at Home 1-6

1.2 Telemedicine 1-6

1.2.1 Nursing Stations 1-7

1.2.2 Telemedicine Services 1-9

1.2.3 Service Provider Adoption of Tele-Monitoring 1-10

1.2.4 Telemedicine Delivery Mechanisms 1-14

1.2.5 Telemedicine Point-To-Point Connections 1-14

1.2.6 High Definition Video Communication 1-15

1.3 Telemonitors Customized To Meet Individual Needs 1-17

1.4 US Makes Telemedicine Priority 1-20

1.4.1 Federal Funding for Telemedicine 1-22

1.4.2 US Telemedicine Medicare – 1-22

1.4.3 US Veterans Health Administration (VA) Use of Telemonitoring 1-23

1.4.4 Telemonitoring Demonstrates Positive Results In Improving Health Care And Reducing Costs Of Veterans 1-24

1.4.5 US VA Tele-monitoring Targeted Innovation: 1-26

1.5 Tele-Monitor Devices 1-28

1.5.1 Customizing Tele-Monitors 1-28

1.5.2 Intel® Health Care Management Security 1-29

1.6 Telemonitoring Research 1-31

1.6.1 New England Journal of Medicine Research 1-32

1.6.2 NEJM Has Published Several Letters That Critique The Study 1-34

1.6.3 25 Studies of Remote Monitoring Of Patients With Chronic Heart Disease 1-37

1.6.4 Bosch Health Buddy Desktop Research 1-37

1.7 Physician Notification on CHF 1-38

1.8 US Patient Protection and Affordable Care Act 1-41

1.9 Federal, State, Local, And Foreign Laws Compliance 1-43

1.9.1 Government Regulation of Medical Devices 1-44

1.9.2 Before And After A Medical Device Is Commercially

Distributed, Ongoing Responsibilities Under FDA Regulations 1-46

1.9.3 Tele-monitoring Third-Party Reimbursement 1-48

1.10 Health Information Privacy HIPAA Requirements 1-48

1.10.1 HIPAA Enforcement 1-55

1.10.2 OCR Responsible For Enforcing HIPAA Privacy and

Security Rules 1-57

1.11 Postacute Care Co-ordination: Healthcare Reform

Readmission Penalties 1-59

1.11.1 Federal Crimes Under The Health Insurance

Portability and Accountability Act HIPAA 1-59

1.12 Partners Mass General Cardiologist Program for High

Risk Heart Failure Patients 1-61


Telemedicine Market Shares and Market Forecasts

This section selectively describes market shares, forecasts, segments, and regional revenue. Numbers are the result of primary research in all cases. Selected companies are described from an independent analyst perspective with a thumbnail sketch or analysis of their market numbers or commentary on their strengths and weaknesses. Some of the analysis is focused on looking at the topic segment by segment, including company descriptive analyses by segment and subsegment.


2. Telemedicine Market Shares and Market Forecasts 2-1


2.1 Telemedicine Market Driving Forces 2-1

2.1.1 Telemedicine IBM Watson, Honeywell,

Vitarian, and Bosch Diagnostic Support Expert Systems 2-4

2.1.2 Telemonitoring Market Driving Forces 2-9

2.1.3 Measures of Tele Monitoring Effectiveness 2-10

2.1.4 Home Patient Monitoring Supports Patient Education 2-11

2.1.5 Wireless Telemonitoring Devices 2-11

2.1.6 Real-Time Monitoring Of Physiological Data 2-13

2.2 Telemedicine Market Shares 2-14

2.2.1 Bosch Healthcare Telehealth Custom Messaging Feature 2-16

2.2.2 Bosch Healthcare telehealth Wireless Modem Option 2-17

2.2.3 Bosch ViTelCare T400 Home Health Monitor 2-17

2.2.4 Bosch Installed Base 2-18

2.2.5 Bosch Telehealth Solutions 2-18

2.2.6 Bosch Telemedicine 2-18

2.2.7 Bosch Telehealth Systems Certification in Disease

Management From NCQA 2-19

2.2.8 Bayer / Viterion 2-20

2.2.9 Bayer / Viterion TeleHealthcare 2-20

2.2.10 Philips 2-21

2.2.11 Intel / GE Care Innovations 2-21

2.2.12 Honeywell HomeMed 2-24

2.2.13 Honeywell HomMed Genesis Touch™Telehealth 2-25

2.2.14 Samsung 2-25

2.2.15 Samsung Medical Business 2-26

2.2.16 MedApps HealthPAL MA105to Extend the Home Selects VRI 2-26

2.2.17 Nonin 2-27

2.2.18 VRI 2-27

2.2.19 VRI Healthcare Services 2-27

2.2.20 Gemalto / Cinterion 2-28

2.2.21 Gemalto CINTERION Wireless Module Functions 2-29

2.3 Telemedicine Market Forecasts 2-30

2.3.1 Congestive Heart Failure 2-34

2.3.1 Diabetes Chronic Illness Numbers 2-37

2.3.1 Incidence of Chronic Disease 2-39

2.3.2 Chronic Diseases Account For Two-Thirds Of

Worldwide Healthcare Spending 2-41

2.3.3 Clinical Staff / Patient Ratios: Physician Shortages 2-41

2.3.4 Viterion Home Health Outcomes in a CHF Population: 2-42

2.4 Telemonitoring Prices and Reimbursement 2-44

2.4.1 Cost of Honeywell Homemed Home

Health Monitoring & MedPartner 2-45

2.4.2 TouchPointCare 2-46

2.5 Interactive Voice Response (IVR) 2-46

2.5.1 Healthcare Providers Use Technology To

Improve Effectiveness Of Care Providers 2-50

2.5.2 HHSC 2-51

2.6 Tele-Monitoring Alarm Devices 2-51

2.7 Tele-Monitor Regional Markets 2'53

2.7.1 Remote Patient Monitoring Market In The US 2-55

2.7.2 Remote Patient Monitoring Market In Europe 2-55

2.7.3 Bosch Remote Patient Monitoring

Regional Market Participation 2-55


Telemedicine Product Description

This section describes selected companies and selected products. Products for this market segment are described with attention to the most significant aspect of features and functions in this category of product. The juxtaposition of a range of different product descriptions from a single market category provides a really good way to access market directions and achieve market competitive analysis. This section is arranged products. Company products are described in the appropriate sections, meaning a company is mentioned several times in the chapter in different places.


3. Telemedicine Product Description 3-1


3.1 Bosch Healthcare Telehealth Solutions 3-1

3.1.1 Bosch Healthcare, Bosch Telehealth and Care Solutions 3-1

3.1.2 Bosch Healthcare Supports Independent Living At Home 3-2

3.1.3 Bosch Telehealth Solutions 3-2

3.1.4 Bosch Telemedicine Provides Daily Care for

Patients with Chronic Conditions 3-3

3.1.5 Bosch Devices for Patients with Diabetes 3-3

3.1.6 Bosch Health Buddy Decision Support Tools 3-5

3.1.7 Bosch Patient's Support System 3-6

3.1.8 Bosch Telehealth Results 3-8

3.1.9 Bosch Healthcare telehealth Wireless Modem Option 3-8

3.1.10 Bosch Heath Buddy 3-9

3.1.11 Bosch Healthcare Telehealth Custom Messaging Feature 3-10

3.1.12 Bosch Healthcare Telehealth T400 Home Health Monitor 3-11

3.1.13 Bosch Healthcare Advancing Telehealth Solutions

Through Dialogue 3-13

3.1.14 Bosch Healthcare Telehealth Growth 3-14

3.1.15 Bosch Health Buddy system / VRI 3-15

3.1.16 McKesson Telehealth Advisor 3-15

3.1.17 McKesson Channel Partner - The Bosch Group 3-18

3.2 Bayer / Viterion TeleHealthcare 3-18

3.2.1 Bayer / Viterion 200 TeleHealth Monitor 3-20

3.2.2 Viterion Telehealthcare, A Business Of Bayer Healthcare 3-23

3.2.3 Viterion 100 TeleHeath Monitor 3-23

3.2.4 ViterionNET Simple Internet Connection 3-25

3.2.5 ViterionNET Capabilities 3-25

3.2.6 ViterionNET Data-Encryption 3-27

3.2.7 Viterion® 200 Telehealth Monitor For Diabetes Care 3-28

3.2.8 Alegent Health Homecare Viterion 100 Home

Care Tele-monitoring Survey 3-29

3.2.9 Viterion Telemonitoring Equipment: 3-29

3.3 Honeywell 3-32

3.3.1 Honeywell Tablet Telehealth App 3-33

3.3.2 Honeywell Telehealth Devices 3-34

3.3.3 Samsung Galaxy Tab to Run Honeywell Cloud Telehealth App 3-34

3.3.4 Honeywell Genesis Touch allows the Galaxy tablet 3-35

3.3.5 Honeywell Genesis LifeStream Dashboard 3-35

3.3.6 Honeywell HomMed Genesis Touch™Telehealth 3-36

3.3.7 Honeywell HomMed Redefining Telehealth with

Tablet Technology 3-36

3.3.8 Honeywell LifeStream, Genesis Fuze Meeting

Cloud-Based Platform 3-39

3.3.9 Honeywell HomMed 3-39

3.3.10 Honeywell HomeMed Health Monitoring System:

Visiting Nurses Association (VNA) 3-40

3.3.11 Honeywell HomeMed Health Monitoring System 3-40

3.3.12 Honeywell HomMed MedPartner 3-42

3.3.13 Honeywell Homemed Health Monitoring System

Criteria for Monitoring 3-43

3.3.14 Cost of Honeywell HomeMed Home Health Monitoring &

MedPartner 3-44

3.3.15 Honeywell HomeMed Health Monitoring System

FDA Class II, Hospital Grade, Medical Device 3-45

Honeywell HomMed Med Partner 3-46

3.4 Cardiocom Commander 3-47

3.4.1 Cardiocom Commander Modular And Flexible Design 3-51

3.4.2 Cardiocom System 3-56

3.4.3 Cardiocom Vital Sign Telemonitoring for CHF,

COPD, Asthma, Diabetes, Hypertension, and Obesity 3-58

3.4.4 Cardiocom® Multi-Disease Management 3-59

3.5 Philips Steady Scale 3-60

3.6 MedApps 3-62

3.7 Biotronik Cardiac Telemonitoring Devices 3-64

3.7.1 Biotronik Home Monitoring Lumax 540

Series State-Of-The-Art Features 3-65

3.8 Care Innovations 3-66

3.8.1 Care Innovations Patient Reports 3-67

3.8.2 Care Innovations™ Connect Can Help Seniors In

Independent Living Facilities 3-72

3.9 Nursing Stations 3-73

3.10 Honeywell Web-Based LifeStream Management Suite 3-74

3.11 GE Healthcare / Intel Telemedicine 3-74

3.11.1 Intel Health Sessions 3-78

3.11.2 Intel Video Calls 3-78

3.12 LG Telemonitoring Smartcare System 3-79

3.13 Honeywell HomeMed's Genesis Touch Telehealth

App Sends The Data To Honeywell's Web-Based LifeStream

Management Suite 3-80

3.13.1 Honeywell HomMed Genesis Touch include the

Fuze Meeting visual collaboration 3-82

3.13.2 Honeywell HomMed LifeStream™ Platform 3-83

3.13.3 Honeywell HomMed LifeStream Connect 3-83

3.14 STMicroelectronics 3-84

3.15 Viterion® TeleHealthcare Network is: 3-84

3.15.1 Viterion TeleHealthcare Nursing Station 3-85

3.16 Cardiocom Integrated Systems 3-85

3.16.1 Cardiocom Tiered Platforms 3-86

3.17 Pulse Oximetry 3-87

3.18 Nonin Pulse Oximetry Sensor Accuracy 3-88

3.18.1 Nonin PureSAT® Pulse Oximetry Technology 3-88

3.18.2 Nonin True Pulse Detection 3-89

3.18.3 Nonin Low Signal Filter 3-89

3.18.4 Nonin Smart Averaging 3-89

3.19 Portable Heart Monitoring Devices 3-89

3.20 Kiwok mHealth 3-89

3.20.1 Kiwok Equipment For Long-Term ECG 3-90

3.21 Thermograph 3-91

3.22 JSC CEM TEC Telemedicine 3-92

3.23 Home Medical Stations 3-93

3.24 A&D Medical 3-93

3.24.1 A&D Medical Scale 3-94

3.24.2 A&D Medical Activity Monitor 3-95

3.24.3 A&D Medical DataSend Personal Blood Pressure Monitor 3-96

3.25 Authentidate Holding 3-98

3.25.1 Authentidate Holding ExpressMD™ Solutions 3-99

3.26 Telemedicine Services 3-100

3.27 Bosch Telemedicine Services 3-100

3.27.1 Bosch / VRI 3-101

3.27.2 VRI Extends The Reach Of Bosch Healthcare

Telehealth Solutions 3-101

3.28 Consult A Doctor 3-102

3.29 Honeywell Web-based LifeStream Management Suite 3-103

3.30 Philips® Telemonitoring Services 3-103

3.31 Alcatel-Lucent 3-104

3.32 American Well collaboration with Harvard

Medical School's Joslin Diabetes Center 3-104

3.33 Cardiocom Telehealth Nurse 3-106

3.33.1 Cardiocom's Clinical Services: 3-106

3.34 TouchPointCare 3-107

3.34.1 TouchPointCare Telehealth Program 3-109

3.34.2 TouchPointCare Telemedicine Positioning 3-110

3.34.3 TouchPointCare Application 3-112

3.34.4 TouchPointCare Monitoring Functions 3-112

3.34.5 TouchPointCare Flexibility 3-117

TouchPointCare Disease Management Programs 3-119

3.34.6 TouchPointCare Opinion Surveys – Patients,

Physicians, And Employees 3-120

3.35 Hospital Telemedicine Systems 3-123

3.36 Philips HeartStart Telemedicine System 3-123

3.36.1 Philips Heart Start 3-124

3.36.2 Philips IntelliVue Application Server 3-128

3.36.3 Phiips Application Server Positioning 3-130

3.37 Systems Hospitals Are Purchasing For

Remote Patient Monitoring 3-131

3.37.1 Hospital Telehealth Solutions As A Collaborative Care Model 3-131

3.38 Logitech LifeSize® Telehealth: Better Care To More

Patients For Less Money 3-132

3.38.1 Lifesize Telepresence Intelligently Optimized for the Network 3--135


Telemedicine Technology


4. Tele-Monitor Technology 4-1


4.1 Patient-Centered /-Participatory Congestive

Heart Failure Telemonitoring4- 4-1

4.1.1 Heart Failure Congress 2011 4-5

4.1.2 TIM-HF Study CHF 4-6

4.1.3 TheTEHAF study 4-8

4.1.4 Johns Hopkins Home-Based Telemonitoring 4-10

4.2 Diabetes Remote Monitoring 4-12

4.2.1 Diabetes Remote Monitoring Drivers 4-12

4.2.2 Partners HealthCare Diabetes Remote

Monitoring Program Overview 4-13

4.2.3 Partners HealthCare Diabetes Monitoring Member 4-14

4.3 Partners Healthcare Blood Pressure Home

Monitoring Health Initiative 4-18

4.3.1 Partners Healthcare Blood Pressure Connect 4-18

4.4 Medtronic 4-20

4.5 Health Monitoring 4-24

4.5.1 Patient-Centered Home Tele Health Monitoring 4-25

4.6 Chronic Heart Failure Clinical Studies 4-28

4.7 Texas Pilot Program 4-32

4.7.1 Obstructive Sleep Apnea (OSA) A Major Chronic Condition 4-33

4.7.2 Hypertension Intervention Nurse Telemedicine (HINTS) Study 4-33

4.8 Ingestible Event Marker 4-34

4.8.1 Home healthcare Technologies 4-35

4.8.2 Telemonitoring Research Studies 4-35

4.9 Continua 4-37

4.9.1 Continua Health Alliance Provides Integration Technology 4-40

4.9.2 Continua Health Alliance 4-42

4.10 Telehealth Value Categories 4-46

4.11 Telemedicine Accessibility 4-47

4.12 Communities and Collaboration 4-48

4.13 Telemedicine Value Chain Sustainability 4-49

4.14 Telemedicine Sustaining Finance Model 4-50

4.14.1 NHS 4-51

4.15 Real-Time Remote Medical Diagnosis System (RTRMDS) 4-52

4.15.1 Tele-pharmacy 4-53

4.15.2 Electronic Medical Records Detail

Drug Information Effectiveness 4-53

4.15.3 Consumers Increasingly Involved In

Treatment Decision-Making 4-54

4.16 Health Care Monitoring Solutions Technology 4-54

4.16.1 Health Information Exchange Services 4-55

4.17 Home-Based Care 4-57

4.18 'Mobile Health Clinics' 4-59

4.18.1 Self-Service Kiosks 4-59

4.18.2 Mobile Health Care 4-59

4.18.3 Mobile Office a Set Of Commonly Used Mobile

Communication Tools 4-61

4.18.4 Telemedicine Allows Medical Professionals

To Consult And Diagnose Patients Remotely 4-63

4.19 DICOM Index Tracker NDS Surgical Imaging, LLC 4-66

4.20 Population Of The Developed World Is Growing

Older, Medical Costs Are Rising, Not Enough Doctors To

Heal The Elderly Sick 4-67

4.20.1 Remote Monitoring Device 4-67

4.21 US Government Tele-Health Subcommittees 4-68

4.21.1 Telehealth Product Medical Device

Regulation In The United States 4-69



Telemedicine Company Profiles


This section selectively describes company strategies, partners, acquisitions, and revenue by segment and regional revenue when available. Companies are described by looking at what is most interesting about that company. The descriptions collectively give a sense of market directions within the industry segment. The alphabetical listing of company thumbnail sketches provides an accessible way to find out what is going on in any particular company.


5.1 A&D Engineering / A&D Medical 5-1

5.1.1 A&D Medical Wellness Connected 5-3

5.1.2 A&D Wellness Connected Online Service 5-6

5.2 Aerotel Medical Systems 5-6

5.3 American Heart Association (AHA) 5-7

5.3.1 American Hospital Association Awards the

University of Rochester Medical Center's Pediatric

Telemedicine Program Health-e-Access Recognition 5-7

5.4 American TeleCare 5-9

5.5 American Telemedicine Association 5-10

5.6 Apple 5-12

5.6.1 Apple Business Strategy 5-12

5.6.2 Apple Products 5-13

5.6.3 Apple iPhone 5-14

5.6.4 Apple iPad 5-14

5.6.5 Apple Mac Hardware Products 5-15

5.6.6 Apple iPod 5-16

5.6.7 Apple iTunes® 5-16

5.6.8 Apple Mac App Store 5-17

5.6.9 Apple iCloud 5-17

5.6.10 Apple Software Products and Computer Technologies 5-18

5.6.11 Apple Operating System Software iOS 5-18

5.6.12 Apple Mac OS X 5-18

5.6.13 Apple TV 5-19

5.6.14 Apple Net Sales 5-19

5.7 AT&T 5-19

5.7.1 AT&T Revenue 5-20

5.7.2 AT&T Wireless 5-22

5.7.3 AT&T Services and Products 5-22

5.7.4 AT&T Voice Service – 5-22

5.7.5 AT&T Innovative Data Services 5-24

5.7.6 AT&T Business Customers 5-24

5.7.7 AT&T Data/Broadband 5-25

5.7.8 AT&T Business Secure Mobile Threats 5-26

5.7.9 AT&T Mobile Security 5-26

5.8 Athens Regional Home Health In-Home Telemonitoring Services 5-28

5.9 Authentidate Holding 5-29

5.9.1 Authentidate Holding ExpressMD™ Solutions Joint Venture 5-30

5.9.2 Authentidate Regional Service Offerings 5-31

5.9.3 Authentidate Holding Revenues 5-32

5.9.4 Authentidate Holding Remote Patient Monitoring Solutions 5-35

5.9.5 Authentidate Holding VA Plan 5-35

5.9.6 Authentidate Holding Revenue 5-36

5.9.7 Authentidate Holding / EncounterCare Solutions Joint Venture 5-37

5.10 Axon 5-38

5.11 Bayer AG / Bayer HealthCare 5-39

5.11.1 Bayer / Viterion TeleHealthcare 5-39

5.11.2 Bayer Diabetes Care 5-39

5.11.3 Bayer Nexavar in Combination with Chemotherapy

Improves Progression-Free Survival in Patients with Advanced

Breast Cancer in Phase II Study 5-40

5.11.4 Bayer 2011 Revenue 5-41

5.12 Biotronik 5-42

5.12.1 Biotronik Electrotherapy 5-42

5.12.2 Biotronik Vascular Intervention 5-43

5.12.3 Biotronik CHF Study 5-44

5.13 Bosch Group 5-45

5.13.1 Bosch Group 5-46

5.13.2 Bosch Healthcare Supports Independent Living At Home 5-46

5.13.3 Bosch Security Systems Division 5-47

5.13.4 Robert Bosch Healthcare 5-48

5.13.5 Robert Bosch Remote Patient Monitoring 5-49

5.13.6 Bosch Healthcare Telehealth Systems 5-50

5.13.7 Bosch Healthcare Health Buddy System 5-52

5.13.8 Bosch Addresses Role of Compliance in Telehealth Adoption 5-52

5.13.9 Bosch North America Veterans Health Administration 5-52

5.13.10 Bosch / VRI 5-56

5.13.11 Robert Bosch Healthcare, Inc. has been selected by

Connections365 5-56

5.13.12 Bosch Group and Health Hero Network 5-58

5.14 Cardiocom 5-59

5.15 Care Innovations: Intel and GE 5-61

5.16 Columbia University's Informatics for Diabetes

Education and Telemedicine 5-62

5.17 Connections365 5-62

5.18 Continua 5-63

5.19 Debiotech 5-65

5.20 Evident Health Services 5-66

5.20.1 Evident Health Services (EHS) 5-68

5.21 FuzeBox 5-69

5.22 Gemalto / Cinterion 5-71

5.22.1 Cinterion 5-71

5.22.2 Gemalto / Cinterion 5-72

5.22.3 Gemalto / CINTERION Active Member Of The Continua Alliance 5-76

5.22.4 Gemalto / Cinterion Mobile Health - M2M Telemonitoring 5-77

5.23 Home Healthcare Hospice and Community Services (HCS) 5-78

5.23.1 Home Healthcare Partners (HHP) 5-79

5.24 Honeywell 5-80

5.24.1 Honeywell HomMed: 5-80

5.24.2 Honeywell Genesis Telehealth Monitors and

LifeStream™ Management Suite 5-81

5.24.3 Honeywell HomeMed Health Monitoring System 5-83

5.24.4 Honeywell HomeMed Health Monitoring System:

Health Visiting Nurses Association (VNA) 5-83

5.24.5 Honeywell Reports Second Quarter 2011 Sales

Up 15% to $9.1 Billion 5-84

5.25 Infopia 5-85

5.25.1 Infopia of Korea 5-85

5.26 Johns Hopkins Launch Home Telemonitoring

Education Initiative 5-86

5.27 JSC CEM Technology 5-87

5.28 Kiwok 5-90

5.29 LG 5-91

5.29.1 LG Telemonitoring Smartcare System 5-91

5.30 LifeMasters 5-92

5.31 Logitech 5-92

5.31.1 LifeSize Telepresence 5-94

5.31.2 Logitech Revenue Net Sales By Operating Segment 5-94

5.31.3 Logitech Sales of PC Peripherals In Mature Markets

Expected to Decline 5-97

5.31.4 Logitech LifeSize 5-98

5.31.5 Logitech Digital Home Category 5-99

5.31.6 Logitech Sales of OEM Mice And Keyboards 5-99

5.31.7 Logitech Net Sales by Channel 5-100

5.31.8 Logitech Segment Revenue 5-100

5.31.9 Logitech LifeSize 5-101

5.31.10 Logitech LifeSize UVC Video Conferencing Infrastructure

Platform 5-102

5.32 McKesson 5-104

5.32.1 McKesson Telehospice Technology 5-105

5.32.2 McKesson / Caris Healthcare 5-107

5.33 MedApps 5-108

5.33.1 MedApps Healthpal 5-109

5.33.2 VRI Selects MedApps HealthPAL MA105to Extend the Home 5-109

5.33.3 MedApps Comprehensive Health Information

Management Platform 5-111

5.33.4 MedApps' Value Proposition 5-113

5.34 Medtronic 5-114

5.35 Montefiore / CMO, the Care Management Company 5-117

5.35.1 CMO, The Care Management Company 5-118

5.36 National Committee for Quality Assurance 5-119

5.37 Nonin Medical, Inc. 5-119

5.37.1 Nonin Medical AB 5-120

5.38 Partners Healthcare 5-121

5.38.1 Partners HealthCare Focus Areas: 5-122

5.38.2 Partners Healthcare Digital Care Delivery 5-123

5.38.3 Partners Healthcare Patient Segmentation 5-123

5.38.4 Partners Healthcare Research and Evaluation Team 5-124

5.38.5 Partners Healthcare Sample Recent Telemonitoring Projects 5-126

5.38.6 Programs In Heart Failure, Hypertension,

Diabetes And Other Chronic Conditions 5-126

5.38.7 Partners Healthcare Center for Connected Health 5-128

5.39 Philips 5-129

5.39.1 Phiips Visicu 5-129

5.39.2 Philips Addresses Healthcare Landscape 5-131

5.39.3 Philips/Respironics Monitoring Solution Powered By

Cinterion TC65i: 5-134

5.39.4 Philips Sales 5-135

5.39.5 Philips Healthcare 5-135

5.39.6 Royal Philips Revenue 5-138

5.39.7 Royal Philips Electronics / Respironics 5-145

5.39.8 Philips Respironics 5-146

5.39.9 Philips Respironics 5-149

5.40 ProConnections, Inc. 5-152

5.41 REACH Health, Inc. 5-152

5.41.1 REACH HealthInc Comprehensive Telemedicine Solution 5-153

5.41.2 REACH Comprehensive Solutions 5-154

5.41.3 REACH Health Telemedicine 5-156

5.41.4 Reach Customers 5-156

5.42 RS TechMedic BV 5-156

5.43 Samsung 5-157

5.43.1 2012 Samsung Predicts Global Economic Slowdown 5-159

5.43.2 Samsung Medical Business 5-161

5.44 Sandata Technologies, Inc. 5-161

5.45 STMicroelectronics 5-161

5.45.1 Debiotech and STMicroelectronics 5-162

5.46 TeleAtrics™ 5-163

5.47 Trifecta Technologies 5-165

5.48 TouchPointCare 5-165

5.48.1 TouchPointCare Strategic Position 5-167

5.48.2 Touch Point Care / Visiting Angels 5-167

5.48.3 Loyola Medical Center 5-168

5.48.4 LHC Group 5-168

5.48.5 Lexington Health Care 5-168

5.48.6 KSB Home Health 5-169

5.48.7 Home Care Health Services 5-169

5.48.8 Health Contact Partners - Wheeling, IL 5-170

5.48.9 Glaxo Smith Kline 5-170

5.48.10 Family Home Care 5-170

5.48.11 Aurora Health Care 5-171

5.48.12 Anderson Hospital Home Health Care 5-171

5.48.13 Almost Family/Caretenders 5-171

5.48.14 Advocate Home Health 5-172

5.49 Tunstall Healthcare Group 5-172

5.49.1 AMAC American Medical Alert Corp. 5-173

5.49.2 American Medical Alert Call Center Centric Solutions 5-174

5.49.3 AMAC Health and Safety Monitoring Systems (HSMS) 5-175

5.49.4 AMAC Personal Emergency Response Systems (PERS) 5-175

5.49.5 AMAC / Lifecomm 5-176

5.49.6 Visiting Nurse Service of New York and AMAC

Contract for Provision of Home Monitoring Emergency

Response System 5-177

5.49.7 AMAC Telehealth Systems 5-177

5.49.8 AMAC Call Centers 5-178

5.49.9 AMAC Revenue 5-179

5.49.10 AMAC Telehealth systems 5-179

5.49.11 AMAC After Hours Answering Services 5-180

5.49.12 AMAC / Intel® Health Guide 5-180

5.50 University of Houston 5-183

5.51 Verizon Technologies 5-184

5.51.1 Verizon In The Wireless Market 5-185

5.51.2 Verizon Operates Advanced Broadband Backbone Networks 5-185

5.51.3 Verizon Owns And Operates Much Of The Infrastructure That Comprises The Internet 5-186

5.52 Veteran's Administration (VA) 5-186

5.53 VIDAVO S.A 5-187

5.54 Virtual Health 5-188

5.55 Vodafone 5-188

5.1.1 Vodafone Cloud Features: 5-189

5.56 VRI 5-191

5.56.1 VRI Digi Pal 5-192

5.56.2 VRI partnership with Robert Bosch Healthcare 5-192

5.56.3 VRI Digi Pal 5-194

5.56.4 VRI 5-196

5.57 Windstream 5-196

5.58 Selected Providers for Emergency Medical Care Monitoring 5-197



List of Tables and Figures


Telemedicine Executive Summary


Table ES-1 ES-2

Factors Likely To Create Shift To Telemedicine

Table ES-2 ES-4

Telemedicine Adoption Rate Issues And Concerns

Figure ES-3 ES-4

Telemedicine Market Factors

Figure ES-4 ES-5

Aging of the Population, 600 Million Elderly Individuals World Wide

Figure ES-5 ES-6

Telemedicine Challenge: One Billion Adults Over

Weight, 86 Million Individuals with Chronic Conditions

Figure ES-6 ES-7

Telemedicine Goal: Improve Lifestyle Choices

Table ES-7 ES-9

Telemonitoring Market Driving Forces

Table ES-8 ES-12

Tele-Monitoring Critical Issues Addressed

Table ES-9 ES-13

Tele-Monitoring Clinical Results

Table ES-10 ES-13

Tele Health Monitoring Problem Solution Aspects

Table ES-11 ES-15

Telemedicine Market Shares, Dollars, Worldwide, 2011

Figure ES-12 ES-16

TeleMonitor Software Market Forecasts, Dollars,

Worldwide, 2012-2018


Telemedicine Market Description and Market Dynamics


Figure 1-1 1-1

Remote Monitoring as Standard of Care

Table 1-2 1-8

Telemedicine Nursing Stations Typical Telemonitoring Questions

Table 1-3 1-10

Remote Patient Monitoring Device Uses

Table 1-4 1-11

Clinical Assessment and Response to Alert Provided by Telemonitor

o TABLE 1-4 (Continued) 1-12

Clinical Assessment And Response To Alert Provided By


TABLE 1-5 1-13

Clinical Assessment And Actions Taken To Alert Provided By


Table 1-6 1-16

Telehealth Solutions Benefits

Table 1-7 1-18

Monitoring Used To Take Measurements In Homecare Settings

Table 1-8 1-19

Monitoring Measurement Functions In Homecare Settings

Table 1-9 1-27

Bosch Recommendations for Innovation Funded By The VA

Table 1-10 1-29

Intel Health Guide Functions

Table 1-11 1-30

Intel® Health Care Management Suite of Software Tools

Table 1-11 1-34

NEJM Letters That Critique The Telemonitoring Study

Table 1-12 1-38

Physician Notification on CHF Using "SBAR"

Table 1-13 1-42

US Healthcare Coverage Legislation Functions

Table 1-14 1-48

FDA Enforcement Actions And Remedies

Table 1-15 1-51

HIPAA Information Covered entities

Table 1-16 1-52

HIPAA Information That Needs to Be Private

Table 1-17 1-53

HIPAA Information Sharing by Health Care Providers

Table 1-18 1-54

HIPAA Information Sharing Prohibitions

Table 1-19 1-55

HIPAA Information Managed via Court Order


Figure 1-20 1-57

HIPAA Privacy and Security Rule and Compliant Process


Telemedicine Market Shares and Market Forecasts


Table 2-1 2-2

Factors Likely To Create Shift To Telemedicine

Table 2-2 2-4

Telemedicine Adoption Rate Issues And Concerns

Figure 2-3 2-4

Telemedicine Market Factors

Figure 2-4 2-5

Aging of the Population, 600 Million Elderly Individuals

World Wide

Figure 2-5 2-6

Telemedicine Challenge: One Billion Adults Over Weight, 86

Million Individuals with Chronic Conditions

Figure 2-6 2-7

Telemedicine Goal: Improve Lifestyle Choices

Table 2-7 2-9

Telemonitoring Market Driving Forces

Table 2-8 2-10

Tele-Monitoring Critical Issues Addressed

Table 2-9 2-12

Tele-Monitoring Clinical Results


Table 2-10 2-13

Tele Health Monitoring Problem Solution Aspects

Table 2-11 2-15

Telemedicine Market Shares, Dollars, Worldwide, 2011

Table 2-12 2-16

Telemedicine Market Shares, Dollars, Worldwide, 2011

Table 2-13 3-29

Gemalto CINTERION Wireless Module Functions

Figure 2-14 2-30

TeleMonitor Software Market Forecasts, Dollars,

Worldwide, 2012-2018

Table 2-15 2'33

Telemedicine Device and Software Market Forecasts,

Units and Dollars, Worldwide, 2012-2018

Figure 2-16 2-36

Congestive Heart Failure (CHF) Patients Worldwide,

Forecasts, Number, 2012-2018

Figure 2-17 2-38

Diabetes Patients Worldwide, Forecasts, Number, 2012-2018

Table 2-18 2-39

Number of Patients with Disease Conditions Requiring

Wheelchairs, By Diagnosis, Number, Worldwide, 2012-2018

Figure 2-19 2-48

Follow Up Link Increases Exponentially In Europe

Table 2-20 2-48

Tele-Monitoring Program Benefits

Table 2-21 2-52

Tele-Monitoring Alarm Devices

Figure 2-22 2-53

Tele-Monitor Regional Market Segments, 2011

Table 2-23 2-54

Telemedicine Regional Market Segments, 2011


Telemedicine Product Description


Figure 3-1 3-4

Bosch Health Buddy System

Table 3-2 3-5

Bosch Health Buddy system Components

Figure 3-3 3-6

Bosch Health Buddy Decision Support Dashboard and Heat Map

Table 3-4 3-7

Bosch Healthcare Telehealth Solution

Figure 3-5 3-9

Bosch Health Buddy System

Table 3-6 3-10

Bosch Health Buddy System Patient Uses for Custom Messaging

Figure 3-7 3-11

Bosch VitelCare™ T400 Home Health Monitor

Figure 3-8 3-12

Bosch Decision Support

Table 3-9 3-13

Bosch ViTelCare Functions

Table 3-10 3-16

McKesson / Bosch Telehealth Advisor Benefits

Table 3-11 3-17

McKesson / Bosch Telehealth Advisor Features

Table 3-12 3-18

Bayer / Viterion TeleHealthcare UK Department of

Health (DOH) Initial Findings from Whole System

Demonstrator (WSD) Program

Figure 3-13 3-21

Viterion 200

Table 3-14 3-22

Viterion TeleHealth Monitor Measurement Of Vital Signs:

Figure 3-15 3-24

Viterion 100

Table 3-16 3-25

ViterionNET Administrator Features:

Figure 3-17 3-26

Viterion Monitor

Table 3-18 3-27

ViterionNET Healthcare Provider Features:

Table 3-19 3-31

Viterion Telemonitoring Study Parameters:

Table 3-20 3-32

Viterion Telemonitoring Study Statisti




To order this report:

e-Healthcare Industry: Telemedicine Monitoring: Market Shares, Strategies, and Forecasts, Worldwide, 2012 to 2018



More Market Research Report




Check our Industry Analysis and Insights



Nicolas Bombourg
US: (805)652-2626
Intl: +1 805-652-2626


SOURCE Reportlinker
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