Homecare CONSOLIDATED Information Systems Executive Summary
Homecare Information Systems ES-1
Home Medical Information Systems Market Driving Forces ES-2
Homecare Information System Software Market Shifts ES-4
Competition Forms Basis Of U.S. Medical Care Services Delivery ES-6
Summary Market Forecasts ES-7
Fair Delivery of 24 Hour Per Day Homecare Services ES-10
Prospective Payment System (PPS) ES-12
Customizable Technology Focused On Home Care ES-12
1. Homecare Consolidated Information Systems Market Description
1.1 Functions Offered 1-1
1.2 Streamlining Internal Systems 1-1
1.3 Return On B2B Investments 1-2
1.4 Specialty Specific Solutions 1-3
1.5 Homecare Information System Software Market Shifts 1-4
1.5.1Characteristics Particular To The Homecare Information System Market 1-7
1.5.2 Prospective Payment System (PPS) 1-7
1.5.3 Home Care Services Billing Issues 1-8
1.5.4 Managed Care Requirements 1-9
1.6 Need For Automation Of Home Care Companies 1-12
1.7 Homecare Information Technology Consolidated Homecare Information System1-14
1.7.1History Of Low Investment In Healthcare Information Technology 1-16
1.7.2Market Driving Forces For Worldwide Homecare Information Systems 1-17
1.7.3 Treatment Trends 1-17
1.7.3U.S. Healthcare Delivery Consolidated Homecare Information System1-19
1.7.4Competition Forms Basis Of U.S. Medical Care Services Delivery 1-19
1.7.5 Science And Medical Technology 1-20
1.8 Market Drivers For Healthcare Cost Containment 1-21
1.8.1 Managed Care Organization Impact 1-22
1.8.2Reasons Home Health Care Has Gained Wide-Spread Acceptance 1-22
1.8.3Managed Care Change In The Healthcare Consolidated Homecare Information System1-23
1.8.4 Homecare For People With Long Term Disabilities 1-23
1.9 Worldwide Homecare Information Systems Market Distribution 1-24
1.9.1 Delivery Of Non-Acute Health Care 1-24
1.9.2 Leveraging Distribution Channels 1-25
1.9.3Worldwide Homecare Information Systems Market Positioning 1-25
1.10Increased Need For Information Technology 1-27
1.10.1Medical Error 1-28
1.11Shortcomings Of Traditional Healthcare Information Systems 1-28
1.12Homecare Information Systems Market Strategy 1-30
1.12.1Integrated Healthcare Information Technology Solutions 1-31
1.12.2Flexible Product-Delivery Options 1-31
1.12.3Leveraging Existing Customer Base 1-32
1.13Homecare Information Systems Market Trends 1-32
1.13.1 Clinician Support For Spending Less Time At The Desktop And More Time Taking Care Of Patients 1-34
2. Homecare Consolidated Information Systems Market Shares and Forecasts
2.1 Home Medical Consolidated Information Systems Market Driving Forces 2-1
2.2 Home Medical Information Systems Market Segments 2-3
2.3 Summary Market Forecasts 2-6
2.4 Technological Trends Impact on Demand for Homecare Services 2-13
2.4.1 Benefits of Integration Solutions 2-13
2.5 Number Of Home Healthcare And Hospice Agencies 2-15
2.5.1 Small Homecare Agencies 2-18
2.5.2 Mid Size Homecare Agencies 2-19
2.5.3 Large Homecare Agencies 2-20
2.6 Geographical Segments 2-21
2.7 Healthcare Industry Shifts 2-22
2.8 Home Health Agency Analysis By State 2-25
2.9 Home Hospice Analysis By State 2-27
2.10Home Medical Information Systems Market Shares 2-30
2.10.1Home Medical Information Systems Market Participants 2-35
2.10.2Home Care Information Systems (HCIS) / Medic Computer Systems 2-36
2.11Integration Company Market Definitions And Markets Addressed 2-36
2.11.1Application Integration Market Shares 2001 2-39
2.11.2Application Integration Market Forecasts 2-44
2.11.3Application Server Web Services Forecasts 2-44
2.11.4Application Integration Web Services Forecasts 2-47
2.11.5Homecare provider Portal Web Services Forecasts 2-47
2.11.6Market Growth Factors 2-48
2.11.7Application Segments 2-50
2.11.8Homecare provider Portal Market Forecasts 2-51
2.11.9 Portals at the Center of Homecare Information Systems Business Strategy 2-52
2.11.10 Application Server Market Shares 2-54
2.11.11 Homecare provider Portal Market Participants 2-55
2.11.12 BPM Market Participants 2-55
2.11.13 IBM 2-56
2.11.14 BEA Systems 2-57
2.11.15 Tibco 2-58
2.11.16 Vitria 2-59
2.11.17 GE Global Exchange Services Homecare Information Systems Business
Software 2-60
3. Homecare Information Systems Products
3.1 McKesson HBOC3-1
3.1.1 Pathways Homecare 3-2
3.1.2 Pathways Homecare System Characteristics 3-4
3.1.3 Integrated System3-7
3.1.4 Managed Care-Enabled 3-7
3.1.5 Prospective Payment System Ready 3-8
3.1.6 Pathways Homecare User-defined Organizational Structure 3-8
3.1.7 Pathways Homecare Flexible Security 3-8
3.1.8 Pathways Homecare Agency Management and Intake 3-9
3.1.9 Pathways Homecare Authorizations 3-11
3.1.10Pathways Homecare Personnel Scheduling 3-11
3.1.11Pathways Homecare Utilities 3-13
3.1.12Pathways Homecare Point of Care Module 3-13
3.1.13Pathways Hospice Support 3-16
3.1.14Pathways Homecare Telephony 3-16
3.1.15Pathways Homecare Reimbursement Management 3-18
3.1.16Pathways Homecare Flexible Reimbursement 3-20
3.1.17Pathways Homecare InfoCenter 3-23
3.1.18Pathways Homecare Account Profile 3-23
3.1.19Support For Agency Relationship With Referring Physicians 3-23
3.2 Cerner ProCall Home Care Management System3-26
3.3 BeyondNow Technologies 3-28
3.3.1 BeyondNow Customizable Software Designed For Home Care 3-28
3.3.2 BeyondNow Technologies / Hospice 3-33
3.3.3 BeyondNow Referral Management 3-33
3.3.4 BeyondNow Patient Profile Searching 3-34
3.3.5 BeyondNow HIPAA Compliance for HomeWorks 3-37
3.3.6BeyondNow Technologies Support For Prospective Payment System (PPS) Reimbursement System3-38
3.3.7 BeyondNow Technologies / Sentara Healthcare 3-38
3.4 Patient Care Technologies / Meditech: inSync 3-39
3.4.1 PtCT Point-Of-Care Driven Process 3-41
3.4.2 inSync Point of Care Driven Process 3-42
3.4.3 inSync Structured Charting 3-43
3.5 Medic Computer Systems / Home Care Information Systems (HCIS) 3-44
3.5.1 Home Care Information Systems (HCIS) Vision HomeCare 3-44
3.5.2 Vision HomeCare Clinical Capabilities 3-50
3.5.3 Vision HomeCare Scheduling Capabilities 3-51
3.5.4 Vision HomeCare Hospice Capabilities 3-52
3.5.5 Vision HomeCare OASIS Benchmarking Capabilities 3-53
3.5.6 Vision HomeCare ORYX Benchmarking Capabilities 3-53
3.5.7 Vision HomeCare Drug Information 3-53
3.5.8 Vision HomeCare Billing Capabilities: 3-54
3.5.9 Vision HomeCare Clinical Capabilities 3-54
3.6 Siemens Home Health Services Solutions 3-61
3.7 Siemens / Novius Home Care Financial View3-62
3.8 Siemens / Novius Home Care Clinical View3-64
3.9 Siemens / Novius Home Health Solutions Interfaces 3-66
3.9.1 Siemens / Novius Family Of Information Solutions 3-68
3.9.2 Siemens / Novius PPS SnapShot 3-69
3.10Meditech E-Commerce Solution 3-70
3.10.1Meditech HIPAA Positioning 3-72
3.11CareCentric 3-73
3.12Healthcare Synergy 3-73
3.13IMA Technologies 3-74
3.13.1CaseTrakker Target Markets 3-75
3.13.2CaseTrakker Flexible Object-Oriented Design 3-77
3.13.3CaseTrakker System Integration 3-77
3.13.4CaseTrakkerLAN3-78
3.13.5CaseTrakker Voyager 3-78
3.13.6CaseTrakker Enterprise 3-78
3.14Lewis Computer POC Product 3-79
3.15Fujitsu WebCare 3-79
3.16Agilent Telemetry System3-80
4. Homecare Information Systems Technology
4.1 Homecare Information Systems Requirements 4-1
4.1.1 Internet Protocol (IP) Mission Critical Functionality 4-4
4.2 Homecare Information Systems Toolkits 4-6
4.2.1 Process Management Toolkits 4-7
4.3 Homecare Information Systems-Services 4-9
4.4 Internet 4-16
4.4.1 Upgrading Software 4-17
4.4.2 End-To-End Flow From The Security Viewpoint 4-17
4.4.3Homecare Information Systems Services Security Policy Configuration 4-18
4.4.4 Role Of Mission Critical Middleware Messaging 4-21
4.4.5 IBM Mission-Critical Functionality 4-22
4.4.6 IBM Websphere MQ Messaging Software 4-23
4.4.7 Linking Internal Operations 4-24
4.5 Web Services 4-26
4.5.1 Services Guarantee Compliance 4-27
4.5.2 Outcomes Monitoring 4-27
4.5.3 Web Services Key Standards 4-28
4.5.4 Web Services Definition 4-29
4.6 Web Services Architecture 4-31
4.7 Distributed Service Discovery Methods 4-32
4.7.1 Web Services Positioning 4-33
4.8 OASIS 4-34
4.9 SOAP 4-35
4.9.1 SOAP Framework 4-35
4.9.2 Framework For Developing Web Services 4-36
4.9.3 Apache SOAP 4-36
4.9.4 Load Balancer With SSL Support 4-37
4.9.5 Points Of Failure 4-37
4.9.6 SOAP Limitations 4-38
4.9.7 SOAP Protocol Uses Multi-Step Process 4-39
4.9.8 Framework Benefits 4-39
4.9.9 SOAP Test Strategies 4-39
4.9.10SOAP Solutions 4-41
4.10WSDL 4-42
4.10.1WSDL Service Descriptions 4-42
4.11UDDI Registry 4-43
4.11.1UDDI Test Registries 4-44
4.11.2UDDI Distributed Web Service Discovery 4-44
4.11.3UDDI Consortium4-46
4.11.4WS-Inspection Document Extensibility 4-46
4.12Language XSLT4-47
5. Homecare Consolidated Information Systems Company Descriptions
5.1 3M 5-1
5.2 Accenture 5-3
5.2.1 Marketing Strategy 5-3
5.2.2 Redefining Supply Chains 5-4
5.2.3 Business Process Integration 5-5
5.2.4 Flexible Business Models 5-5
5.2.5 Management And Technology Consulting Services 5-7
5.2.6 Service Lines 5-7
5.2.7 Strategy And Business Architecture 5-8
5.3 Accumedic Computer Systems 5-8
5.4 Ariba 5-9
5.5 Advanced Information Management 5-10
5.6 Advanced Information Management 5-10
5.7 American Health Care (AHC) Software Enterprises 5-10
5.8 BeyondNow Technologies 5-12
5.8.1 BeyondNow Technologies / Baptist Health Care 5-12
5.8.2 BeyondNow Technologies / Sentara Healthcare 5-13
5.8.3 BeyondNow Integrated System5-13
5.8.4 BeyondNow Technologies Facilitates Speed To Billing 5-14
5.9 BroadVision 5-14
5.10Cap Gemini Ernst & Young 5-16
5.10.1Integration Framework 5-17
5.10.2Interface Structures 5-18
5.10.3Integration Framework 5-19
5.11CareCentric 5-20
5.12Cerner 5-20
5.12.1Cerner Revenues 5-21
5.12.2Cerner Health Care Solutions 5-22
5.12.3Cerner Clinical And Financial Systems Integration 5-23
5.12.4Cerner Patient Safety Solutions 5-24
5.12.5Cerner Radiology Imaging 5-25
5.12.6Cerner Supply Chain Automation 5-25
5.12.7Cerner Customers 5-26
5.12.8Cerner Strategic Focus 5-26
5.13Commerce One 5-26
5.14Deloitte Consulting 5-28
5.14.1 Health Care Enterprise Application Integration (EAI) Solution Set 5-29
5.14.2Advanced Mobile Services 5-30
5.15Fujitsu 5-30
5.15.1Fujitsu PC Corporation 5-31
5.15.2Fujitsu Software Corporation 5-31
5.16Golden Rule Software 5-32
5.17Green Mountain Software Corporation 5-32
5.18Hann's On Software 5-33
5.19HealthCare Synergy 5-33
5.19.1Healthcare Synergy Products 5-34
5.20Healthlink 5-34
5.21IBM Global Services 5-35
5.21.1Billion Information Technology Services 5-36
5.21.2Traditional Lines Of Business 5-37
5.21.3Balance Of Power Shifts From Producers To Consumers 5-38
5.22IMA Technologies 5-39
5.23KPMG Consulting 5-40
5.23.1Vitria / KPMG Consulting Strategic Alliance 5-41
5.23.2KPMG Consulting Positioning 5-42
5.23.3Supply Chain Management 5-44
5.24Lewis Computer Services 5-45
5.25McKesson 5-46
5.25.1Pathways Homecare 5-47
5.26Medical Information Technology (Meditech) 5-47
5.26.1Meditech Internet Interfaces 5-48
5.26.2Meditech and IBM 5-50
5.26.3Meditech Third Quarter 2001 Revenue 5-50
5.27Misys Group / Medic Computer Systems 5-50
5.27.1Medic Products 5-51
5.27.2 Home Care Information Systems (HCIS) / Medic Computer Systems 5-51
5.27.3Home Care Information Systems (HCIS) Software 5-52
5.27.4Home Care Information Systems Acquires Data Counsel 5-52
5.28Open Market 5-53
5.29Pharmacy Data Systems 5-53
5.30PricewaterhouseCoopers 5-54
5.30.1Management Consulting Services 5-55
5.30.2Determinet 5-56
5.31Pro Business Systems 5-56
5.31.1Pro Business Systems Products 5-57
5.32Procura 5-58
5.32.1Hedgehog Systems 5-58
5.32.2Procura / Micro Medical Systems 5-59
5.33Profium5-59
5.34SAS 5-59
5.35STATLinc Computer Services 5-60
5.36VasTech 5-60
5.37Government Agencies With Homecare Responsibility 5-61
5.38National Associations And Regional Home Health Intermediaries (RHHIs) 5-61
5.39State Home Health Associations 5-62
List of Tables and Figures
Table ES-1 ES-2
Home Medical Market Driving Forces
Table ES-2 ES-3
Home Medical Information Systems Market Driving Forces
Table ES-3 ES-5
Market Positioning Of Homecare Information System Software
Figure ES-4 ES-8
Worldwide Homecare Consolidated Information System Market Forecasts, 2002-2010
Table 1-1 1-2
Streamlining Internal Systems
Table 1-2 1-3
Aims of Consolidated Systems
Table 1-3 1-5
Homecare Information System Software Characteristics
Table 1-4 1-6
Market Characteristics For Evaluation of Homecare Information System Software Vendors
Table 1-5 1-8
Home Care Services Billing Issues
Table 1-6 1-10
JCAHO ORYX Requirements
Table 1-7 1-13
Home Care Standard Services Provided
Table 1-8 1-14
Home Care Specialty Services Provided
Table 1-9 1-15
Home Market Information System Software Market Segment
Table 1-10 1-18
Factors Relating To Value Of Home Health Care Over Institutional Care
Table 1-11 1-26
Worldwide Homecare Information Systems Market Positioning
Table 1-12 1-30
Strategies For Offering Technology Solutions To The Home Healthcare Consolidated Homecare Information System
Table 1-13 1-33
Homecare Information Systems Market Trends
Table 2-1 2-1
Home Medical Market Driving Forces
Table 2-2 2-2
Home Medical Information Systems Market Driving Forces
Figure 2-3 2-4
Homecare Software Shipments and Services By Segment, 2001
Table 2-4 2-5
Homecare Software Shipments and Services By Segment, 2001
Figure 2-5 2-7
Worldwide Homecare and Hospice Spending Market Forecasts,
Dollars, 2002-2010
Figure 2-6 2-8
Worldwide Homecare and Hospice Consolidated Information System Spending Market Forecasts,
Dollars, 2002-2010
Figure 2-7 2-9
Worldwide Consolidated Information System Spending As a Percent of Total Homecare and
Hospice Spending Market Forecasts, Dollars, 2002-2010
Figure 2-8 2-10
U.S. Homecare and Hospice Spending Market Forecasts, Dollars, 2002-2010
Figure 2-9 2-11
U.S. Homecare and Hospice Consolidated Information System Spending Market Forecasts,
Dollars, 2002-2010
Figure 2-102-12
U.S. Consolidated Information System Spending As a Percent of Total Homecare and
Hospice Spending Market Forecasts, Dollars, 2002-2010
Table 2-11 2-14
Benefits of Integration Solutions
Figure 2-122-15
U.S. Homecare / Hospice Agency Market Forecasts, 2002-2007
Table 2-13 2-17
U.S. Homecare / Hospice Agency Market Forecasts, 2002-2007
Table 2-14 2-18
U.S. Homecare / Hospice Small Agency Market Forecasts, 2002-2007
Table 2-15 2-19
U.S. Homecare / Hospice Mid Size Agency Market Forecasts, 2002-2007
Table 2-16 2-20
U.S. Homecare / Hospice Large Agency Market Forecasts, 2002-2007
Figure 2-172-21
Homecare Consolidated Information System Shipments By Region, 2001
Table 2-18 2-22
Homecare Consolidated Information System Shipments By Region, 2001
Table 2-19 2-23
Clinical And Management Information Systems Functions Integration Company Market Definitions and Markets Addressed
Table 2-20 2-25
Home Health Agencies, By State
Table 2-21 2-28
Number of Medicare Certified Hospice Agencies, By State, 2000
Figure 2-222-32
U.S. Homecare Information System Software Market Shares, Dollars, 2001
Table 2-23 2-33
U.S. Homecare Information System Software Market Shares, Dollars, 2001
Figure 2-242-32
Worldwide Homecare Information System Software Market Shares, Dollars, 2001
Table 2-25 2-33
Worldwide Homecare Information System Software Market Shares, Dollars, 2001
Figure 2-262-40
Application Integration Market Shares, 2001
Table 2-27 2-41
Application Integration Market Shares, 2001
Figure 2-282-46
Web Services Portion of Application Server Market, Forecasts 2001-2007
Table 2-29 2-48
Applications Server Market Positioning
Table 2-30 2-49
Market Driving Forces For Applications Servers
Table 2-31 2-50
E-Commerce Target Markets
Table 2-32 2-53
Portal Homecare Information Systems Business Strategy
Table 2-33 2-54
Applications Server Market Shares, 2001
Table 3-1 3-3
Pathways Homecare Systems Positioning
Table 3-2 3-5
Pathways Homecare Target Markets
Table 3-3 3-6
Pathways Homecare System Uses
Table 3-4 3-7
Types Of Homecare Services
Table 3-5 3-10
Pathways Homecare Agency Management Functionality
Table 3-6 3-12
Pathways Homecare Personnel Scheduling Module
Table 3-7 3-15
Pathways Homecare Clinical Documentation System Features
Table 3-8 3-17
Pathways Homecare Telephone-Based Extension Features
Table 3-9 3-19
Pathways Homecare Reimbursement Management Features
Table 3-10 3-20
Pathways Homecare Reimbursement Models
Table 3-11 3-21
Pathways Homecare Options For Revenue Recognition
Table 3-12 3-25
Pathways Homecare Internet Solutions Benefits
Table 3-13 3-26
The Cerner ProCall Home Care Management System Functions
Table 3-14 3-27
Integration Suite Automation Of Healthcare Domains
Table 3-15 3-29
BeyondNow Referral Management Functions
Table 3-16 3-30
BeyondNow Reimbursement Management Functions
Table 3-17 3-31
BeyondNow Patient to Human Resource Matches
Table 3-18 3-32
BeyondNow Billing and Accounting Functions
Table 3-19 3-34
BeyondNow Comprehensive Point-of-Care On-Line Documentation
Table 3-20 3-35
BeyondNow Patient Profile Searching
Table 3-21 3-36
BeyondNow Support For Access To Community Resources
Table 3-22 3-37
BeyondNow Care Plans
Table 3-23 3-39
PtCT System Features To Accommodate Home Care Needs
Table 3-24 3-46
Vision HomeCare Information System Functions
Table 3-25 3-47
Vision HomeCare Information System Features
Table 3-26 3-48
Vision HomeCare User Features
Table 3-27 3-49
Vision HomeCare Billing Features
Table 3-28 3-52
Vision HomeCare Target Markets
Table 3-29 3-56
Vision HomeCare Scheduling Capabilities
Table 3-30 3-57
Vision HomeCare Prospective Payment System (PPS) Capabilities
Table 3-31 3-58
Vision HomeCare System Capabilities
Table 3-32 3-59
Vision HomeCare Point of Care Field Capabilities
Table 3-33 3-60
Vision HomeCare System Functional Scope
Table 3-34 3-61
Siemens Healthcare Information Systems Solutions Modules
Table 3-35 3-63
Siemens / Novius System Modules
Table 3-36 3-65
Siemens / Novius Home Care Clinical View Functions
Table 3-37 3-66
Home Health Solutions HL7 Interface Benefits
Table 3-38 3-67
Home Health Solutions HL7 Technical Benefits
Table 3-39 3-69
Home Health Solutions For Prospective Payment System (PPS)
Table 3-40 3-71
Medical Information Technology e-commerce Initiative
Table 3-41 3-72
Medical Information Technology E-Commerce System Features
Table 3-42 3-75
CaseTrakker Version Selection
Table 3-43 3-76
CaseTrakker Target Marketing
Table 4-1 4-3
Homecare Information Systems Requirements
Table 4-2 4-4
Homecare Information Systems Functions
Table 4-3 4-6
Assessment Of Homecare Information Systems Services Tool Positioning
Table 4-4 4-8
Functions Of An IP Addressing Device
Table 4-5 4-9
Benefits Of an IP Addressing Device
Table 4-5 4-11
Homecare Information Systems Modular Strategy
Table 4-6 4-12
Homecare Information Systems Component Strategy
Table 4-7 4-13
Homecare Information Systems Services Challenge
Table 4-8 4-14
Internet Market Driving Forces
Table 4-9 4-15
Internet Homecare Information Systems Resource Management
Table 4-12 4-23
Enterprise Messaging Integration Functions
Table 4-13 4-25
Software Application Integration Functions
Table 5-1 5-8
Cerner Positioning
Table 5-2 5-10
Cerner Health Care Solutions
Table 5-3 5-18
IMA Technologies CaseTrakker Functions
Table 5-4 5-22
Meditech Internet Interfaces
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