Tele-Care Medical Equipment: Market Shares, Strategies, and Forecasts, Worldwide, 2013 to 2019

LEXINGTON, Massachusetts (March 28, 2013) – WinterGreen Research announces that it has a new study on Tele-care equipment Monitoring Market Shares and Forecasts, Worldwide, 2013-2019. The 2013 study has 387 pages, 106 tables and figures. Tele-care improves treatment of chronic disease, reduces cost of care delivery, lets baby boomers age gracefully in their homes, and supports expert delivery of health care to every person in the world. Tele care is evolving more sophisticated ways of monitoring vital signs in the home, thus protecting people in a familiar, comfortable environment. The improvements in care delivery relate to leveraging large information sources that permit understanding what care works for what conditions.

Tele-care systems server markets are anticipated to grow because they represent a way to steer patients with a particular clinician to those most expert in treating that particular condition. Tele-care is not yet to the point where it is able to be used effectively to implement changes that represent significant improvements in overall healthcare delivery, they are largely confined to being used in the treatment of chronic conditions.

The aim of tele-care systems that will grow markets significantly is if the tele-care is used to prevent the onset of chronic conditions of CHF and diabetes through interventional medicine, wellness programs, and simply intelligent nutrition and exercise programs implementation. Is this the task of the hospitals? Or, are well ness programs meant to be implemented elsewhere? In any case, tele-care represents the delivery mechanism for the programs.

Statins have a warning label that indicates that patients who take these drugs risk mental deterioration and diabetes. Is this what we want for our people? Or are there wellness programs that provide alternatives. These are issues confronting hospitals, physicians, clinicians, big pharma, and patients everywhere. We are all patients; the task is to figure out good tele-care systems that work to implement wellness programs before the onset of chronic conditions.

Under this scenario, the local physician and specialist becomes the expert in ordering the correct diagnostic tests, not just any test they can think of, but a proper test that is recommended by the expert systems and by the expert clinician. In this manner the out of control testing costs in the US can be controlled. There will need to be some law changes, there will need to be some adoption of protections for the expert doctors, but when decisions are backed by standards of care instantiated as tele health servers we begin to have a rational, very effective health care delivery system.

Use of tele-care systems in the treatment of chronic conditions is important. 90% of the cost of care delivery is tied up in the treatment of chronic conditions. A large percentage of the tele-care servers was sold in the U.S., where the VA system did home monitoring of 92,000 patients in 2012. Tele-care equipment shipments are anticipated to grow rapidly worldwide as efficiencies of scale are realized for monitoring and treating people with chronic conditions in a more standardized manner that addresses the particular combinations and clusters of conditions any one patient presents.

Tele-care systems rely on monitors with integrated connectivity. Systems use monitoring hubs with integrated cellular capability and carts that permit remote diagnosis for places where there is a shortage of good doctors and where people want second opinions from a trusted expert. A physician that sees hundreds of patients a week with a certain condition is more apt to render an accurate diagnosis and to provide effective treatment than a physician that only sees that condition once a year.

The only way to connect patients with a particular condition with a clinician expert in treating that condition is through telemedicine. Everyone knows that a surgeon who operates within a particular specialty every day is more expert than one who operates only once a year. The same is true across the board for all specialties.

Systems like the Bosch health management programs with evidence-based guidelines are great in this context. These evidence based systems can be used to keep physicians and clinicians focused on the most significant part of the condition being treated.

IBM Watson is similarly great in the context of connecting expert clinicians with patients presenting a certain combination of symptoms. This type of care delivery represents significant change, but it is change for the better, it is lower cost care delivery with higher quality of care. Watson or competing computing systems have the potential to be incredibly useful in this context. Because Watson and other cognitive computing systems can recognize clusters of symptoms in a particular patient, these types of systems are potentially useful in guiding patients to the care delivery clinician that is most likely to be able to recognize the best treatment and to provide the recommendation ot other clinicians as to what will be the highest level of effective care for the least cost.

The aim of tele-care is to improve patient compliance with standards of care known to support improved outcomes for patients with chronic conditions. Tele-care is one way to improve patient compliance, but there are other ways to achieve that as well.

Tele-care increases patient compliance. The aim is to improve the delivery of healthcare to clients by monitoring vital signs to detect changes in patient condition that may indicate the onset of a more serious event, much as nurses in the hospital monitor patient vital signs.

According to Susan Eustis, the principal author of the study, “The advantage of tele-care is that it increases patient compliance. It brings expert medicine into the home and attempts to present it in manner patients can hear. The aim is to improve the delivery of healthcare to clients by performing medical exams remotely and monitoring vital signs to detect changes in patient condition that may indicate the onset of a more serious event, much as nurses in the hospital monitor patient vital signs for the purpose of permitting sophisticated care delivery.”

Tele-care equipment units decrease the cost of care delivery while improving the quality of care and the quality of lifestyle available to patients. They have been widely adopted and extremely successful in use by the veterans administration in the US and by CMS Medicare and Medicaid. Use is anticipated to be extended to a wide variety of care delivery organizations based on this base of installed systems. Healthcare delivery is an increasing concern worldwide. Markets for the carts and associated servers segment of the market at $237.6 million in 2012 are anticipated to reach$3.3 billion by 2019.

Check out the WinterGreen Research Tele-Care Medical Equipment Study here.

Memo to New England Journal of Medicine

by Susan Eustis

A December 2010 article describing a telehealth remote monitoring for heart failure patients concluded that telemonitoring did not improve patient outcomes.  The paper was written by Sarwat I. Chaudhry, M.D, and nine other authors.   It looked at telemonitoring in patients with heart failure.  The paper analyzed 1,653 CHF patients, 826 of whom participated in a remote health intervention:  This is I believe an aarticle that is a travesty for the entire healthcare delivery industry.  The study was deeply flawed, not looking at modern technology, instead using technology that is known to fail.  Following is a quote from the new WinterGreen Research market study on telemedicine.  The logic is accurate and indicates the need for a retraction of the article and attention to more modern research.  The paper seems to carry the prejudice of physicians that wish they could treat only those whom they see in person.  This attitude is outdated and not appropriate for patients with chronic disease conditions.
Chronic disease conditions are best treated early on when there is a change in patient condition and an early intervention can make a difference.  It is even better to treat them in a wellness treatment environment before there are indications of chronic disease, before symptoms develop, by addressing lifestyle issues early on.

 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 to provide education regarding healthy living in a way that is likely to create compliance with clinician recommendations.


Telemedicine IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems

by Susan Eustis

Telemedicine IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems

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.

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.