Long Term Care and Nursing Home Information Systems Market Shares, Strategies, and Forecasts, Worldwide, 2010-2016

Table of Contents

Long Term Care and Nursing Home Information Systems Executive Summary

Long Term Care and Nursing Home Information Systems

Executive Summary ES-1

Long Term Care and Nursing Home Information

Systems Market Driving Forces ES-1

Long Term Care and Nursing Home Information Systems

Market Shares ES-3

Long Term Care and Nursing Home Information Systems

Market Forecasts ES-4

Long Term Care and Nursing Home Information Systems Market Description And Market Dynamics

1. Nursing Home and Long Term Care

Information Systems (IS) Market Description

and Market Dynamics 1-1

1.1 Healthcare IT Industry 1-1

1.2 Standard For Electronic Information Exchange 1-3

1.3 CMS October 1, 2010 Implementation Of MDS 3.0 1-5

1.3.1 US MDS 3.0 - 1-6

1.3.2 MDS and RUG Changes 1-7

1.3.3 MDS Powerful Tool For Implementing

Standardized Assessment 1-9

1.4 Cerner Brings Innovation / Cerner Personal Health Record 1-10

1.4.1 Cerner and IBM 1-11

Long Term Care and Nursing Home Information Systems Market Shares And Market Forecasts

2. Long Term Care Information Systems

3. Market Shares and Forecasts 2-1

2.1 Long Term Care Information Systems Market Driving Forces 2-1

2.1.1 Long Term Care Information Systems Market Driving Aspects 2-3

2.1.2 Opportunity for Growth Exists in Nursing Home Healthcare Information Technology 2-4

2.1.3 Nursing Facility Services Funded By Medicare

And Medicaid 2-6

2.2 Nursing Home Information Systems Market Shares 2-6

2.2.1 Keane Long-Term Care Software 2-10

2.2.2 American Health Tech 2-11

2.2.3 McKesson Horizon Nursing Home Care 2-11

2.2.4 Meditech Nursing Home and Long-Term Care

Information System 2-12

2.2.5 Meditech Multi-Facility Health Care Positioning 2-13

2.2.6 Meditech Long Term Care Information Systems Technology 2-14

2.2.7 PointClickCare Physician's Orders Module 2-14

2.2.8 PointClickCare Pharmacy Integration 2-15

2.2.9 Cerner Leading Supplier 2-16

2.2.10 Cerner Patient Accounting Solutions 2-16

2.2.11 Cerner BeyondNow 2-16

2.2.12 Optimus 2-17

2.2.13 Vigilan 2-18

2.2.14 Vigilan Scheduler 2-19

2.2.15 Siemens 2-20

2.3 Nursing Home Information System Segment and

Facility Analysis 2-21

2.3.1 Nursing Home Facility Analysis 2-21

2.3.2 US Elderly Population 2-22

2.4 Nursing Home and Long-Term Care Information

Systems Market Forecasts 2-28

2.4.1 Health Behaviors and Risk Factors 2-34

2.5 Long Term Care Regional Market Segments, Dollars, 2009 2-39

Long Term Care and Nursing Home Information Systems Product Description

3. Long Term Care Information Systems Product Descriptions 3-1

3.1 Meditech Long Term Care Information Systems Technology 3-1

3.1.1 Meditech Systems Long Term Care Information

Systems Resident Assessment Instrument (RAI). 3-3

3.1.2 Administrative Functionality In Meditech’s

Long Term Care Solution 3-4

3.1.3 Meditech Manage Resident Financial

Transactions Using Trust Accounts 3-12

3.1.4 Clinical Functionality In Meditech’s Long Term Care Solution 3-13

3.1.5 Meditech Long Term Care Clinical Functionality 3-15

3.1.6 Meditech Long Term Care Solution Administration

Patient Assessment Instrument 3-16

3.1.7 Meditech Long Term Care Solution Order Management 3-19

3.1.8 Meditech Benefits of Integration 3-20

3.2 Point Click Care 3-25

3.2.1 PointClickCare Physician's Orders Module 3-28

3.2.2 PointClickCare Pharmacy Integration 3-28

3.2.3 PointClickCare's Point of Care Interface 3-29

3.2.4 PointClickCare Minimum Data Set (MDS) 3-29

3.2.5 PointClickCare Point of Care POC User Interface 3-30

3.2.6 PointClickCare RUG Optimizer Maximize Reimbursement 3-31

3.2.7 PointClickCare 3-31

3.2.8 PointClickCare Electronic Medication

Administration Record (EMAR) 3-36

3.3 Keane Long-Term Care Software 3-39

3.3.1 Keane NetSolutions 3-40

3.4 American Health Tech 3-42

3.4.1 American Health Tech Financial Accounting 3-

Software: Management 3-44

3.5 Vigilan 3-44

3.5.1 Vigilan Administrator 3-45

3.5.2 Vigilan Analyzer 3-46

3.5.3 Vigilan Marketer 3-46

3.5.4 Vigilan Medication Management 3-46

3.5.5 Vigilan Assisted Living Emergency Call And Nurse Call 3-46

3.5.6 Vigilan Assisted Living Software 3-47

3.5.7 Vigilan Accounting Software 3-49

3.5.8 Vigilan ADL 3-49

3.6 Cerner 3-50

3.6.1 Cerner BeyondNow 3-52

3.6.2 Cerner Sybase Technology 3-53

3.6.3 Cerner BeyondNow Key to Increased Productivity,

Improved Patient Care and Reduced Costs 3-54

3.7 ADL Data Systems 3-54

3.7.1 ADL Data System Nursing Homes and

Long-Term Care Facilities Software 3-56

3.7.2 ADL Data System Capture Signatures using Topaz Systems 3-57

3.8 Hann's On Software 3-57

3.9 MDI 3-59

3.9.1 MDI Viewpoint Claims Assessment:Analysis and

Reporting of Paid Claim Data 3-61

3.9.2 MDI Viewpoint Analytics: Claims Data

Reporting & Health Informatics 3-63

3.10 Patient Care Technologies 3-64

3.11 McKesson Pharmserv® Long-term Care 3-65

3.11.1 McKesson Pharmserv® Long-term Care (LTC) Module 3-67

3.11.2 McKesson Supply Management Online for Long-Term Care 3-69

3.11.3 McKesson Technology Services for Long-Term Care 3-71

3.12 Optimus EMR 3-77

3.12.1 Optimus.Supports Chain Organizations 3-84

3.12.2 Optimus EMRTm Offers A Combination Of

Point Of Care Devices 3-88

3.12.3 Optimus EMR Entry Points 3-89

3.12.4 Optimus EMR, Inc. Updates List of Electronic

Pharmacy Interfaces with Pharmacy Software Systems for LTC 3-92

3.12.5 Optimus Electronic Pharmacy Interface 3-95

3.13 SigmaCare 3-97

3.14 Siemens 3-99

Long Term Care and Nursing Home Information Systems Technology

4. Long Term Care and Nursing Home Information Systems Technology 4-1

4.1 Technology Trends 4-1

4.2 Nursing Home to ER: Electronic Universal Transfer 4-2

4.3 HIPAA Privacy 4-5

4.3.1 Delivery-Based HIPAA Policies 4-6

4.3.2 Vendors Automate Compliance 4-6

Long Term Care and Nursing Home Information Systems Company Profiles

5. Long Term Care Information Systems Company Profiles 5-1

5.2 American Health Tech 5-2

5.3 AOD Software 5-2

5.4 Cerner 5-3

5.4.1 Cerner Target Markets 5-3

5.4.2 Cerner Services 5-5

5.4.3 Cerner Revenue 5-6

5.4.4 Cerner’s Vision Of The Unified Cerner

Millennium Architecture 5-8

5.4.5 Cerner Growth Strategy 5-9

5.4.6 Cerner Competition To Insurance-Based Infrastructure 5-12

5.4.7 Cerner Personal Health Record 5-13

5.4.8 Cerner Software Development 5-13

5.5 Consulier Engineering / Patient Care Technologies 5-14

5.6 GE Healthcare 5-15

5.6.1 GE Respiratory Care 5-17

5.6.2 GE VersaMed Portable Ventilators 5-17

5.6.3 GE VersaMed Corporation 5-18

5.7 Golden Rule Software 5-19

5.8 Green Mountain Software 5-19

5.8.1 Green Mountain Software Innovative Mobile Applications 5-20

5.9 Hann's On Software 5-21

5.10 Healthcare Solutions / Procura Management 5-22

5.11 Keane 5-22

5.11.1 Keane’s Healthcare Solutions Division 5-24

5.12 McKesson 5-24

5.13 MDI 5-26

5.13.1 MDI Earns Microsoft Gold Certified Partner Status 5-30

5.14 MediServe 5-31

5.14.1 MediServe Solutions Positioning: 5-32

5.15 Meditech 5-33

5.15.1 Meditech Revenue 5-34

5.15.2 Meditech Positioning 5-34

5.15.3 Meditech Financial/Billing Partner SOS Corporation 5-35

5.16 Optimus EMR 5-35

5.16.1 Optimus Customer Positioning 5-36

5.17 Philips Healthcare 5-37

5.17.1 Royal Philips Revenue 5-40

5.17.2 Royal Philips Electronics / Respironics 5-47

5.18 PointClickCare 5-51

5.18.1 PointClickCare Customers 5-51

5.18.2 PointClickCare Strategic Positioning 5-53

5.18.3 PointClickCare 5,000 + Success Stories 5-53

5.19 Siemens 5-54

5.20 SigmaCare 5-56

5.20.1 Omnicare Forms Strategic Alliance with SigmaCare 5-57

5.20.2 SigmaCare / Omnicare 5-59

List of Tables and Figures

Long Term Care and Nursing Home Information Systems Executive Summary

Table ES-1 ES-2

Long Term Care and Nursing Home Information Systems Market Driving Forces

Figure ES-2 ES-3

Long Term Care and Nursing Home Information Systems Market Shares, Dollars, 2009

Figure ES-3 ES-5

Long Term Care and Nursing Home Information Systems Market Forecasts Dollars, Worldwide, 2010-2016

Long Term Care and Nursing Home Information Systems Market Description And Market Dynamics

Figure 1-1 6

US MDS 3.0 Scheduled To Be Implemented in October, 2010 6

Long Term Care and Nursing Home Information Systems Market Shares and Market Forecasts

Table 2-1 2-1

Long Term Care Information Systems Market Driving Forces

Figure 2-2 2-2

Aging of the Population By Major Country

Table 2-3 2-3

Long Term Care Information Systems Market Driving Aspects

Table 2-4 2-5

Nursing Home Healthcare Information Technology Market Driving Forces

Figure 2-5 2-8

Nursing Home Long Term Care Facility Information

Systems and Software as a Service (SaaS) Market

Shares, Dollars, Worldwide, 2009

Table 2-6 2-9

Nursing Home Long Term Care Facility Information

Systems and Software as a Service (SaaS) Market

Shares, Dollars, Worldwide, 2009

Table 2-7 2-20

Vigilan Scheduler Benefits

Table 2-8 2-21

Nursing Facility Analysis 2009

Figure 2-9 2-29

Long Term Care Information Systems

Market Forecasts Dollars, Worldwide, 2010-2016

Table 2-10 2-29

Nursing Home Long Term Care Facility Information

Systems and Software as a Service (SaaS)

Units and Dollars, Worldwide, 2010-2016

Figure 2-11 2-35

Medicare Nursing Home Analysis by State, by Bed Size

Figure 2-11 (Continued) 2-36

Medicare Nursing Home Analysis by State, by Bed Size

Figure 2-11 (Continued) 2-37

Medicare Nursing Home Analysis by State, by Bed Size

Figure 2-11 (Continued) 2-38

Medicare Nursing Home Analysis by State, by Bed Size

Figure 2-12 2-39

Long Term Care Regional Market Segments, Dollars, 2009

Long Term Care and Nursing Home Information Systems Product Description

Table 3-1 3-2

Meditech Systems Long Term Care Information Systems T

echnology Features

Table 3-2 3-3

Meditech Systems Long Term Care Information Systems Functionality

Table 3-3 3-4

Meditech Resident Assessment Instrument (RAI) Systems

Long Term Care Information Systems Functionality:

Table 3-4 3-5

Meditech Long Term Care Solution Administration Of 3-

Patient Medical Records

Table 3-5 3-6

Meditech Long Term Care Solution Administration

Of Patient Demographic Information

Table 3-6 3-7

Meditech Long Term Care Solution Patient Administration Tracking

Table 3-7 3-8

Meditech Long Term Care Solution Administration Records

Table 3-8 3-9

Mediitech Administrative Long Term Care Functionality

Table 3-9 3-10

Meditech Long Term Care Solution Administration Features

Table 3-10 3-11

Meditech Long Term Care Solution Billing Features

Table 3-11 3-12

Meditech Trust Account Financial Transaction Management

Table 3-12 3-14

Meditech Clinical Functions in the Long Term Care Solution

Table 3-13 3-16

Meditech Long Term Care Solution Records Documentation

Table 3-14 3-18

Meditech EMR Functions

Table 3-15 3-19

Meditech Long Term Care Solution Order Management Features

Table 3-16 3-20

Meditech Benefits of Integration

Table 3-17 3-21

Meditech’s Long Term Care Solution Administrative Functionality

Table 3-17 (Continued) 3-22

Meditech’s Long Term Care Solution Administrative Functionality

Table 3-17 (Continued) 3-23

Meditech’s Long Term Care Solution Administrative Functionality

Table 3-18 3-24

Meditech Long Term Care Solution Registration Desktop Features

Table 3-19 3-26

PointClickCare Nursing Home Information Systems Modules

Table 3-20 3-27

PointClickCare Nursing Home Information Systems Modules

Table 3-21 3-33

PointCLickCare Long Term Care Software Features

Table 3-22 3-34

PointCLickCare Long Term Care Billing Software Features

Table 3-23 3-35

PointCLickCare Long Term Care Administration Software Features

Figure 3-24 3-37

PointClickCare eMAR Interface Provides Resident

Pictures , Color Coding For The Right Meds At The Right Times

Table 3-25 3-38

PointClickCare Long Term Care Product Positioning 2010

Table 3-26 3-41

Keane NetSolutions Long-Term Care Electronic Medication

Management Solution Features

Table 3-27 3-43

American Health Tech Long Term Care Software Modules

Table 3-28 3-45

Vigilan Suite Features

Figure 3-29 3-48

Vigilan Software As A Service Nursing Home Positioning

Table 3-30 3-50

Cerner Patient Accounting Solutions ProFit Key Benefits

Table 3-31 3-52

Cerner BeyondNow Business Advantage Key Benefits

Table 3-32 3-55

ADL Data Systems Software Target Markets

Table 3-33 3-60

MDI's Carepoint Custom Provider Networks Features

Table 3-34 3-62

MDI Viewpoint Claims Assessment Functions

Table 3-35 3-63

MDI Viewpoint Analytics

Table 3-36 3-66

McKesson Pharmserv® Long-term Care

Table 3-37 3-67

McKesson Pharmaserv Suite Products

Table 3-38 3-68

McKesson Pharmserv® Long-term Care Functionality:

Table 3-39 3-70

McKesson Supply Management Online: Features

Table 3-40 3-72

McKesson Medical-Surgical eCOMETS System Features

Table 3-41 3-73

McKesson Orbits Bar Code Technology Benefits

Table 3-42 3-76

McKesson Supply Management Online: Functions

Figure 3-43 3-78

Optimus Point of Care

Figure 3-44 3-79

Physician Order Module (COPE)

Figure 3-45 3-80

Pharmacy Interface and Interoperability

Figure 3-46 3-81

Optimus Electronic Control Center (eCC) Management Dashboard

Figure 3-47 3-82

Optimus EMar and ETar Medication Clinical Charting

Figure 3-48 3-83

Optimus EMR Financial Billing Systems Integration

Figure 3-49 3-91

Optimus EMR Solutions for Long Term Care

Table 3-50 3-93

Optimus PO/eMAR modules

Table 3-51 3-96

Components of the Optimus EMR System Pharmacy Interface:

Long Term Care and Nursing Home Information Systems Technology

Table 4-1 4-4

Acute Care Doctors Transfer Summary Content

Table 4-2 4-7

HIPAA Compliance Actions

Table 4-3 4-10

Integrating And Automating The Exchange Of Ehr/Emr

Table 4-3 (Continued) 4-11

Integrating And Automating The Exchange Of Ehr/Emr

Long Term Care and Nursing Home Information Systems Company Profiles

Table 5-1 5-4

Cerner Software Solutions Positioning

Table 5-2 5-5

Cerner Target Markets

Table 5-3 5-6

Cerner Services

Table 5-4 5-9

Cerner Strategic Positioning

Table 5-5 5-20

Green Mountain Software Services Positioning

Table 5-6 5-23

Keane Positioning

Table 5-7 5-27

MDI Healthcare Approach To The Business,

To Customers And To Team

Table 5-7 (Continued) 5-28

MDI Healthcare Approach To The Business,

To Customers And To Team

Figure 5-8 5-30

MDI Specialized Competencies

Table 5-9 5-33

MediServe Solutions Positioning:

Table 5-10 5-35

Optimus EMR Long Term Care Industry Modules Provided

Figure 5-11 5-38

Philips Healthcare Positioning

Figure 5-12 5-41

Philips Healthcare Equipment Order Intake Trends

Figure 5-13 5-42

Philips Revenue Market Segments

Figure 5-14 5-43

Philips Employee, Manufacturing, and Research Profile

Figure 5-15 5-44

Philips Continuing Sales Growth in Emerging Markets

Figure 5-16 5-46

Philips Gaining Share And Leadership in Emerging Markets

Figure 5-18 5-50

Philips Healthcare Information Systems Market Shares

Figure 5-19 5-52

PointClickCare Customers