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Updated: May 25, 99 |
Hospital Information and Data Management Systems | |
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Developments in IT Systems for the “Intelligent” Hospital -
Dramatic and far-reaching changes are taking place in both
primary healthcare delivery and the management of healthcare resources. Changes
that are being fuelled by cost cutting, ever shrinking budgets and the
development of the “team” medical approach to hospital based treatment.
As we approach the millennium,
purpose designed integrated IT systems are becoming indispensable adjuncts to
the delivery of an increasingly sophisticated primary healthcare service. They
are as important as well trained healthcare professionals in a system constantly
looking at ways to reduce costs whilst maintaining high standards.
Some estimates have suggested that a saving in the healthcare expenditure budget in the USA alone, would be more than $US 36 billion as a result of the implementation of electronic hospital information and patient data management systems. The costs savings world-wide would be four times that figure. This fact is set to fuel exponential growth in the market for specifically designed multi-application, integrated hardware and software packages for hospital information and management systems up to and well beyond the end of the decade.
Read this detailed business report from Global Intelligence and obtain important new insights into the following issues
Ø
How can
healthcare managers show what really can be saved by implementing integrated
electronic health information systems covering patient and resource management
in primary and secondary healthcare delivery
Ø
What are
the major differences in specification between a hospital based health
information and management system and the systems used for the electronic
storage of patient data popular with smaller care centres and non-hospital
physicians
Ø
What
factors, both technical and market, drive systems development and adoption in
the market for hospital based electronic health information systems.
Ø
What
factors restrain growth in the market for health information systems and hamper
development of the “intelligent” hospital. What can the systems
manufacturers and suppliers do to enhance product adoption?
As
a manufacturer and supplier of hospital electronic information and data
management systems ask yourself the following questions
1) Should I know by how much the market for
electronic hospital information systems is growing over the next five years?
2) Am I fully aware of the impact on market growth of
the shift away from the individual carer to a medical team approach?
3) Are there significant market restraining factors
influencing market growth that I may not know about?
4) Are there technical trends in the development of
hospital health management systems that will fuel exponential growth in the
market over the millennium?
If the answer is yes, to any of these questions then this business intelligence report will provide invaluable insights into how to exploit the opportunities and counter the threats likely to be created in this lucrative marketplace over the next five years.
Who should read this detailed new business intelligence report
Ø
Computer hardware manufacturers. Computer hardware manufacturers looking for
new markets will find this report invaluable. Until recently electronic hospital
information systems were extensions of existing hardware and software options.
Major changes are taking place in the modern hospital. Firstly, the shift away
from the individual carer to a medical team approach and secondly, declining
budgets and increasing patient numbers. All these factors dictate the need for
increased efficiency through the development of specific multi-application,
fully integrated hardware systems
Ø
Computer Software manufacturers. The biggest challenge in electronic hospital
information management is designing software capable of being sufficiently user
friendly whilst delivering the capability for information and data management
and diagnostic backup for the physician. Market growth has been slowed in part
by lack of understanding of what computerisation in hospitals can achieve and
lack of demand driven products. Now these hurdles are being overcome the market
is ripe for the development of purpose designed software capable of integrated
patient data analysis and interactive procedural analysis. Some protagonists
believe the world-wide market for hospital data management software to exceed
$US 10 billion. We believe this is set to increase three fold over the
forecast period creating a multi-billion dollar industry up to and beyond the
millennium
Ø
Healthcare Systems Analysts and Designers. To
provide an appropriate return on investment to the hospital any electronic
health information system will need to be designed to a very tight
specification. Especially with regard to integration and interactive procedural
analysis. In the larger hospital healthcare aware systems analysts will be
required to design, develop and implement these multi-million dollar systems.
These analysts will be involved in user training following implementation
Why is it important to understand the HIS market at this time
Increases in patient numbers and the need to keep
healthcare costs under control are two issues that continue to occupy the minds
of government planners and healthcare managers alike. These issues in addition
to the increasing understanding of what hospital computerisation can do for
physicians and patients alike is driving technology developments in this area.
This report provides detailed answers to the
following questions:
·
Which
areas of hospital patient data management and healthcare resource allocation
most benefit from the implementation of electronic health information systems
·
What
market, industry and end user trends will have the greatest influence on the
development of the “Intelligent Hospital” up to and beyond the millennium
·
How to
overcome the increased healthcare costs associated with practising “blind”
medicine and how to improve physician confidence in interactive electronic
health information management systems
·
How are
technology advances driving the development of integrated hospital information
systems
What will you get from this report
This report makes a strategic assessment of the
global market for electronic hospital information and patient data management
systems. It provides information that will enable companies to best position
themselves to profit from the exponential growth that is forecast to take place
within the market over the next five years.
It concentrates on the management of administrative
versus clinical information and identifies the hospital staff requirements of
electronic management systems. The shift from individual medical carer to team
approach is addressed. The user requirements of such systems are discussed with
purchasing and market penetration strategies identified. Detailed market
forecasts are included covering hospital communication systems, hospital
information systems and hospital department systems. The growth areas are
identified for each of the key geographical sectors covered by the study. A
detailed table of contents with list of tables and figures follows:
EXECUTIVE SUMMARY
DEFINITION OF THE MARKET
METHODOLOGY
INTRODUCTION
The Global Situation
THE
NECESSITY OF ELECTRONIC DATA PROCESSING
Changes of Care Procedures
Fragmentation of Hospital IT Sectors
Autonomy in Unity
HOSPITAL
DEPARTMENT SYSTEMS
HOSPITAL
COMMUNICATION SYSTEMS
HOSPITAL
INFORMATION SYSTEMS
Electronic Patient Record - EPR
CHAPTER 1
ADMINISTRATIVE VERSUS CLINICAL INFORMATION
OVERVIEW
Evolution of
Hospital Data Management since the 1960’s
From Passive
Storage to an Active Information Tool
Financial
Losses through Lack of medical History
INTERFACE
BETWEEN ADMINISTRATIVE AND CLINICAL
COMMUNICATION
Interlink
between Clinical and Administrative Data
Administrative Data
Patient Admission
Materials Management
Cost and
Performance Control
Clinical Communication
Information
Support for Decision-Making
Monitoring of Decisions
CONCLUSION
Strategic and Competitive Advantage
Synergy of Autonomous Sectors
ENDUSER ISSUES
FUNDAMENTALS
OF BUILD UP AND EXTENSION OF HOSPITAL
INFORMATION SYSTEMS
The most
Fundamental Move
Benefits for
the End User Hospital
SYNTHESIS BETWEEN THE THREE MAIN HOSPITAL PRINCIPLES
Patient orientated aims
Care orientated aims
Administrative and economical aims
HOSPITAL
REQUIREMENTS
Seven Hurdles for HIS
Behavioural Changes
Professional Changes to the Caregiver
System Changes
Technology
Industry
Standards
Legislation
THE ROLE OF IN-HOUSE IT EXPERTS
Knowledge about immediate Environment
Breeding
Ground for tailor-made Solutions
Position of the Industry
COSTS
Costs of Purchase and Implementation
Costs of Operation
CONSUMER EXPERIENCES
Three HIS Case Studies
Osaka University Hospital and University Medical School
Background
Implementation
Technology
Hardware
Software
Future
University of Sao Paulo Medical School Hospital
Background
Implementation
Technology
Hardware
Software
Future
University Hospital Münster
Background
Technology
Hardware
Software
Future
STRATEGIC ASSESSMENT
THE WORLD HEALTHCARE
The Top 10 Healthcare Spenders
THE WORLD WIDE HOSPITAL MARKET
Market Potential
THE WORLD MARKET FOR MEDICAL
EQUIPMENT
Total Market
Market Sectors
CHALLENGES IN THE WAY OF MARKET VALUE
ASSESSMENT
Wider Context of HIS Market Value Analysis
TOTAL WORLD MARKET
World HIS Market
World HCS Market
Strategic Nature of the HCS Market
Total Market World Hospital Department Systems
Total Market
MARKET
FORECAST
WORLD
MARKET COMPANY SHARES
Total
Competitor Positioning
SECURITY AND DATA PROTECTION
Ethical Requirements
Legal Requirements
Action to prevent un-authorised Access
TIME FRAME OF SYSTEM IMPLEMENTATION
CHAPTER 4
HIS RELATED SYSTEMS AND RELATED USERS
Total
Vision of Health Information Networks
Global
Information Society
Projects
Global Health
Information Network
Project CoCo
Medcom Denmark
The Hong Kong Health Information Highway
RELATED SYSTEMS
Laboratory
systems
Cardiology
Systems
Telemedicine
Missouri Telemedicine Project
Royal Free Hospital London
Others
RELATED USERS
General
Practitioners
Blood
Banks
Trauma
Centres
Pharmaceutical Field
CHAPTER 5
DEVELOPMENT IN PURCHASING STRATEGIES
THE
PURCHASE PROCESS
Hospital Department Systems Purchase
Hospital Communication Systems Purchase
HIS Purchase
VENDOR AND SYSTEM SELECTION
Receptivity
Financial Gains Analysis
NATIONAL VENDOR STRATEGIES
Preparing the Soil for HIS
Acquisition
Market Domination
Innovation
INTERNATIONAL VENDOR STRATEGIES
Partnerships
Entering diverse Markets
Diverse sales Strategies
THE ROLE OF EXTERNAL CONSULTANTS
Conflicting Interests
Outsourcing
CHAPTER 6
COMPETITIVE ADVANTAGE THROUGH TAKE-OVER
AND ACQUISITION
Market Growth through Acquisition
Acquisition of Special Product Suppliers
STRATEGIES
BASED ON INNOVATION AND CUSTOMER RELATIONS
Providing
Tailor Made Information
Providing
Tailor Made Financial Analysis
Supply of
Training
Customer
Services
ACCELERATING MARKET FACTORS
CONSTRAINING MARKET FACTORS
CHAPTER 7
INDUSTRY
STRUCTURE
Influential Factors
Consolidation
Competition
Technology
Legislation
Anxiety
Trade Associations
Related Bodies
IMIA
MISA
Trade Shows and Conferences
The Relative Freedom of the Market
ACTION TOWARDS STANDARDISATION
US
Standards
European
Project Hansa
Aims and Intentions
Known Facts
CORBA
Active X
The following contents of Chapter 8 reflect the information contained within the report for North America. However, the same coverage occurs for each of the geographical sections covered by the study. The geographical sections covered include, in addition to North America, South America, Western Europe, Eastern Europe, Middle East and Africa, South East Asia, Central and Southern Asia and Australasia. These regions are covered in chapters 9 through 15.
CHAPTER
8:
NORTH AMERICA
OVERVIEW
North American Healthcare Market
North American Medical Equipment Market
North America Hospital Market
NORTH AMERICAN MARKET FOR HOSPITAL
INFORMATION
SYSTEMS
Hospital
Information Systems
Hospital
Communication systems
Hospital
Department Systems
Total Market
Value
SYSTEM
PROVIDERS
Total Competitor Positioning
MARKET ACCELERATIVE FACTORS
MARKET RESTRICTIVE FACTORS
CHAPTER
16
The information listed below is included for each of the following 12 companies, HBOC, Cerner, MIPS, Infonet, IDX, 3M, SAIC, CSC, SMS, EPIC, GESI and DHS
Corporate Details
Acquisition History
Products
Financial Results
Strategy
Alliances
CHAPTER
17
CORPORATE
POSITIONING AND ANALYSIS
17.1 INFLUENCES ON CORPORATE
DEVELOPMENT
17.1.1 Technology orientated Influences
17.1.1.1 System Integration
17.1.1.2 Security
17.1.1.3 Legislation
17.1.1.4 Millennium Bug
17.1.2 Industry orientated
Influences
17.1.3 End-User orientated
Influences
17.1.4 Impact of these Influences
17.2 ACTIONS REQUIRED
TO COMBAT
NEGATIVE
EFFECTS
17.2.1
Understanding Customer Needs
17.2.2 R
& D
17.2.3 Creation
of international Standards and Regulations
Glossary
of Terms
Some findings of the report:
Ø
Market
growth has largely been slowed by lack of specific technology and the failure of
healthcare operatives to appreciate what computerisation can do for hospital
administration and patient management
Ø
Personnel
training costs may be as much as 60% of the overall expenditure during
installation of a hospital information and patient data management system
Ø
During
the later part of the decade the ultimate concept is that of a global healthcare
data networks with individual healthcare information systems being linked
world-wide
Ø
Many
vendors do not offer sufficient support to potential customers currently and it
is widely accepted that those companies who will be successful in this arena
over the forecast period will develop a first class customer relations policy
Ø
If the
market demand for systems interoperability and integration is met, growth in the
market is expected to reach double figures
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WERNER
KIERSKI
NIC SLOCUM
Director of Research
Following completion of his doctorate Nic Slocum gained
extensive experience within the healthcare industry in a variety of technical
marketing positions spanning some 10 years, culminating in the position of New
Business Development Manager for the diagnostics division of ICI, now part of
Zeneca.
Nic moved from industry into the business intelligence
field in 1987 when he joined Frost and Sullivan at their European headquarters.
After nine years with Frost and Sullivan, latterly as their Director of European
Research responsible for business intelligence reports across a range of
industrial sectors, Nic joined the Dialog Corporation, formerly MAID. As a
director of their Virtual Business Information division he gained extensive
experience in the electronic delivery of business intelligence in a variety of
formats.
Nic joined Global Intelligence as Director of Global
Research at the beginning of 1998
WILLIAM PAYNE
Contributing Author
After an academic career William occupied a number on
technical marketing positions with ICL and Bell Northern Research culminating in
a senior management position with Northern Telecom.
During the early 90’s he became a full time industry
writer covering most key issues in the global IT and Telecoms industry over the
last few years.
More recently William has concentrated his writing on the
impact of new technologies on market dynamics, organisational strategies and
business practice within the key global Telecoms markets.
Testimonials
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this report is very detailed in its analysis of the technology, the key players
and the issues facing the market. It clearly lays out the challenges which need
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….”
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issues are handled well and the detailed descriptions of the positioning of all
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service provision are well
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