TOP TEN COMPANIES IN TELEMEDICINE TECHNOLOGIES. HLC130A January Stephen Weber Project Analyst ISBN:

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1 TOP TEN COMPANIES IN TELEMEDICINE TECHNOLOGIES HLC130A January 2013 Stephen Weber Project Analyst ISBN: BCC Research 49 Walnut Park, Building 2 Wellesley, MA , Custom Reports: carol.laverty@bccresearch.com

2 TABLE OF CONTENTS CHAPTER 1 INTRODUCTION 2 REASONS FOR THE STUDY 2 STUDY GOALS AND OBJECTIVES 2 INTENDED AUDIENCE 3 SCOPE 3 METHODOLOGY 3 RELATED BCC REPORTS 4 BCC ON-LINE SERVICES 4 DISCLAIMER 4 CHAPTER 2 TELEMEDICINE OVERVIEW 6 STRUCTURE 6 FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 6 KEY PLAYING FIELDS IN TELEMEDICINE 7 FIGURE 2 WINNING IMPERATIVES FOR TELEMEDICINE: TELEHOME CARE, TELEHOSPITAL B2B, TELEHOSPITAL B2C CHANGING HEALTHCARE PARADIGM: INEVITABLE NEED FOR TELEMEDICINE Increasing Chronic Diseases 9 Complexity of the Healthcare Network 9 FIGURE 3 TELEMEDICINE: KEY TO E-HEALTHCARE 9 Rising Cost of Home Care 9 Increasing Number of Aging Patients Requiring Daily Care 9 Higher Spending on IT 10 Moving from Treatment to Early Intervention 11 Shortages of Healthcare Personnel and Increasing Workloads 11 NEED FOR BETTER CLINICAL OUTCOMES 12 GROWING INVESTMENTS IN TELEMEDICINE 12 TELEMEDICINE DRIVEN BY THE RISING E-HEALTHCARE MARKET 12 INCREASING FOCUS OF COMPANIES ON TELEMEDICINE AS A KEY MARKET DIFFERENTIATOR IMPROVED TECHNOLOGY INFRASTRUCTURE SPURRING GROWTH IN TELEMEDICINE ENTRY OF TIER I PLAYERS EXPANDING MARKET SCOPE 13 CENTRALIZED EHR AND EMR ARE DRIVING THE NEED FOR TELEMEDICINE INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS 13 FIGURE 4 INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS 14 KEY CHALLENGES 14 FIGURE 5 MAJOR CHALLENGES FACED BY TELEMEDICINE PROGRAMS (%) 15 FIGURE 6 CHALLENGES IN TELEMEDICINE: ECONOMICS VERSUS CLINICAL OUTCOME TECHNICAL 16 OPERATIONAL AND SOCIAL ISSUES 16 Training and Accreditation 16 Availability of Telecommunications Bandwidth 17 Market Awareness

3 LEGAL AND REGULATORY ISSUES 18 Device Safety and Effectiveness 18 Privacy 18 Practitioner and Facility Licensure 19 Medical Liability and Malpractice Issues 20 STANDARDS 21 MARKET DYNAMICS 21 FIGURE 7 CASH COWS IN TELEMEDICINE 21 CHAPTER 3 MARKET SUMMARY 24 SUMMARY TABLE THE GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2016 ($ MILLIONS)* MARKET DRIVERS 24 FIGURE 8 TELEMEDICINE MARKET DRIVERS 24 TELEMEDICINE MARKET STRUCTURE OVERVIEW 25 FIGURE 9 TELEMEDICINE MARKET STRUCTURE 25 MAJOR GEOGRAPHICAL SEGMENTS 26 TABLE 1 TELEMEDICINE MARKET BY GEOGRAPHY, THROUGH 2016 ($ MILLIONS)* TECHNOLOGIES AND SERVICES 27 TABLE 2 FORECAST FOR THE TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET, THROUGH 2016 ($ MILLIONS)* FIGURE 10 TELEMEDICINE SERVICE MARKET 28 TELEMEDICINE APPLICATIONS 28 TELEMEDICINE STAKEHOLDERS 29 FIGURE 11 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE CHAPTER 4 COMPANIES 32 ALCATEL-LUCENT 32 COMPANY OVERVIEW 32 BELL LABS 33 KEY PRODUCTS AND SERVICES 33 OmniAccess Wireless LAN Solutions 33 VitalQIP DNS / DHCP IP Address Management Software 34 FINANCIAL INFORMATION Key Data 34 Revenues by Region 34 Revenues by Segment Q2 & Q3 Key Figures 35 MANAGEMENT 35 AMD GLOBAL TELEMEDICINE INC. 35 COMPANY OVERVIEW 36 KEY PRODUCTS 36 AMD-400S Camera & Illumination 36 FIGURE 12 THE AMD-400S CAMERA 36 AMD-2500 General Exam Camera 38 FIGURE 13 AMD GLOBAL TELEMEDICINE'S AMD2500 CAMERA, ISOMETRIC AND REAR VIEWS 38

4 FIGURE 14 AGNES 3.0 WEB PORTAL 39 RECENT NEWS 41 MANAGEMENT 41 CARDIOCOM 41 COMPANY OVERVIEW 41 KEY PRODUCTS AND SERVICES 42 Commander and Commander Flex 42 FIGURE 15 COMMANDER AND COMMANDER FLEX 42 Omnivisor 42 ENTERPRISE INTERFACES 43 ALLIANCES 43 MANAGEMENT 44 CISCO 44 COMPANY OVERVIEW 44 CISCO HEALTHPRESENCE CISCO FINANCIAL INFORMATION 45 Fiscal Year 2012 Key Data 46 Q1 Fiscal Year 2013 Revenue Breakdown by Region 46 Q1 Fiscal Year 2013 Revenue Breakdown by Product Category and Service MANAGEMENT 46 HONEYWELL HOMMED 47 COMPANY OVERVIEW 47 KEY PRODUCTS AND SERVICES 47 LifeStream 47 Genesis DM and Genesis Touch 48 FIGURE 16 GENESIS DM AND GENESIS TOUCH 48 MANAGEMENT 49 INTERNATIONAL BUSINESS MACHINES CORP. 49 COMPANY OVERVIEW 50 IBM AND POLYCOM 50 IBM'S BLUE SPRUCE 51 COPD Gene Study and Blue Spruce 51 itelepsych.com and Blue Spruce 51 MANAGEMENT 51 LIFEWATCH AG 52 COMPANY OVERVIEW 52 KEY PRODUCTS AND SERVICES 52 LifeStar PMP Wireless Tele-diagnositc System 52 LifeStar ACT (Ambulatory Cardiac Telemetry) 53 Holter Monitoring 53 Clinical Research Services 53 NiteWatch Home Sleep Testing 53 LifeWatch V 53 LIFEWATCH AG FINANCIAL INFORMATION Annual Figures Revenue Breakdown of $82.2 Million Q3 Financial Highlights 54 46

5 MANAGEMENT 54 POLYCOM 55 COMPANY OVERVIEW 55 POLYCOM AND IBM 56 POLYCOM FINANCIAL INFORMATION 56 Q Figures 56 Q3 Consolidated Net Revenue Breakdown by Region 56 Q3 Consolidated Net Revenue Breakdown by Product line 56 MANAGEMENT 56 ROBERT BOSCH HEALTHCARE 57 COMPANY OVERVIEW 58 KEY PRODUCTS AND SERVICES 58 The Bosch Health Buddy System 58 FIGURE 17 BOSCH HEALTH BUDDY SYSTEM 58 T400 Telehealth System 59 Serious Mental Illness. 60 MANAGEMENT 60 SHL TELEMEDICINE LTD. 60 COMPANY OVERVIEW 60 KEY PRODUCTS AND SERVICES 61 The CardioSen'C 61 FIGURE 18 SHL TELEMEDICINE S CARDIOSEN C 62 Smartheart 62 FIGURE 19 SHL TELEMEDICINE S SMARTHEART 62 SHL TELEMEDICINE FINANCIAL INFORMATION Figures 63 Q Figures 63 MANAGEMENT 64 OTHER COMPANIES TO WATCH 64 AEROTEL MEDICAL SYSTEMS LTD. 64 AMERICAN TELECARE INC. 64 CYBERNET MEDICAL CORP. 65 INTOUCH TECHNOLOGIES 65 MEDIC4ALL 66 NUMERA 66

6 LIST OF TABLES TABLE HEADING SUMMARY TABLE THE GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2016 ($ MILLIONS)* TABLE 1 TELEMEDICINE MARKET BY GEOGRAPHY, THROUGH 2016 ($ MILLIONS)* TABLE 2 FORECAST FOR THE TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET, THROUGH 2016 ($ MILLIONS)*

7 LIST OF FIGURES FIGURE TITLE FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 6 FIGURE 2 WINNING IMPERATIVES FOR TELEMEDICINE: TELEHOME CARE, TELEHOSPITAL B2B, TELEHOSPITAL B2C FIGURE 3 TELEMEDICINE: KEY TO E-HEALTHCARE 9 FIGURE 4 INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS 14 FIGURE 5 MAJOR CHALLENGES FACED BY TELEMEDICINE PROGRAMS (%) 15 FIGURE 6 CHALLENGES IN TELEMEDICINE: ECONOMICS VERSUS CLINICAL OUTCOME FIGURE 7 CASH COWS IN TELEMEDICINE 21 FIGURE 8 TELEMEDICINE MARKET DRIVERS 24 FIGURE 9 TELEMEDICINE MARKET STRUCTURE 25 FIGURE 10 TELEMEDICINE SERVICE MARKET 28 FIGURE 11 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE 30 FIGURE 12 THE AMD-400S CAMERA 36 FIGURE 13 AMD GLOBAL TELEMEDICINE'S AMD2500 CAMERA, ISOMETRIC AND REAR VIEWS FIGURE 14 AGNES 3.0 WEB PORTAL 39 FIGURE 15 COMMANDER AND COMMANDER FLEX 42 FIGURE 16 GENESIS DM AND GENESIS TOUCH 48 FIGURE 17 BOSCH HEALTH BUDDY SYSTEM 58 FIGURE 18 SHL TELEMEDICINE S CARDIOSEN C 62 FIGURE 19 SHL TELEMEDICINE S SMARTHEART

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