2007 Edition /
Digital Version
ASIN: B000NJLKBQ
Market Research / Richard K. Miller & Associates April 2007 Price: 285.00 (click below for downloadable digital pdf version of this popular
handbook)
This book,
annually updated, is used as a
strategic business planning resource for executives in
medical and healthcare organizations, from hospitals to integrated
networks, from health plans to suppliers.
The Healthcare Business
Market Research Handbook is an indispensable tool designed to
help you manage and expand your healthcare operations.
This is
the best selling publication of its kind available from any
source. This annual report
contains 95 chapters which provide you with the most recent
statistics and data available. Each issue contains between 650
and 700 pages. View
a sample chapter of one of the 95 chapters of a past year's issue.
Contents
of each issue covers topics similar to these:
Section 1: Market Overview
Market Summary &
Forecast
State & Local
Profiles
Healthcare Salary
Surveys
Section II: Market
Challenges & Opportunities
Healthcare Costs:
The sharp rise in health costs is considered by many to be the
most serious problem facing the healthcare industry. Healthcare
increases are analyzed and factors contributing to the rising
cost of healthcare are identified. Specific impacts on
healthcare services providers, health plans, employers and
employees, small business, labor unions, the uninsured, and
state governments are discussed.
Medicare: This
chapter summarizes recent Medicare legislation and its impact on
healthcare services.
Budgets, Cost
Reduction: This chapter assesses the financial performance of
hospitals and medical practices. A generalized budget
distribution is presented, labor and non-labor costs are
quantified, and physician generated hospital revenue is
assessed. Cost reduction through supply chain management and
recent trends in hospital price increases are also discussed.
Guidelines are presented for revenue cycle management and
maintaining cash flow.
Marketing
Healthcare Services: Health systems and hospitals spend
approximately 0.5% to 2% of their operating budgets on
marketing. Marketing expenditures are roughly evenly split
between advertising and community relations/educational/PR
activities. This chapter discusses the specific methods being
used by hospitals to increase marketshare, including community
relations, advertising, techniques to increase referrals, and
presence on the Internet.
Patient Safety &
Quality Issues: The medical error problem has received more
attentions since a recent Institute of Medicine report. Data is
presented on the cost to hospitals as well as financial
incentives for quality. Guidelines are discussed and case
studies are presented for reducing errors enhancing the quality
of service s. JCAHO’s safety standards and the Leapfrog Group’s
quality initiative are also discussed.
Reimbursement:
Emerging strategies for billing and collection relating to
uninsured patients and emergency patients are discussed. Other
topics in this chapter include technology applications for bad
debt collection, automated transactions, denial management, and
new methods of provider reimbursement.
Workforce
Strategies: Data is presented quantifying current workforce
shortages, and projections are made on expected future
shortages; and the current crisis is expected to get much, much
worse. Most critical is the shortage in nursing, the largest of
the healthcare occupations. The chapter provides case studies of
successful programs to reduce shortages. Studies have found that
hospitals with a higher nurse-to-patient ratio are likely to
have better patient outcomes. The expected impact of impending
California law mandating higher nurse-to-patient ratios is
discussed. The looming physician shortage is also assessed.
Medical Liability
& Tort Reform: Data is presented in this chapter assessing the
liability insurance crisis that has arisen in several states.
Solutions ranging from tort reform to strategies being taken by
individual hospitals are discussed.
The Uninsured &
Uncompensated Care: This chapter provides statistics on
the uninsured and associated uncompensated care. These figures
show what while the ranks of the uninsured is rising,
uncompensated care is on the decline. Factors contributing to
this situation and strategies to minimize uncompensated care are
discussed.
Bioterrorism
Preparedness: Hospital preparedness for possible bioterror
attacks are assessed and discussed in this chapter.
Pay-for-Performance: Programs awarding financial incentives for
providing quality healthcare services have been tested over the
past few years; positive results will make this a concept
increasingly utilized within the healthcare industry. Programs
of the Centers for Medicare and Medicaid Services and major
health plans are discussed in this chapter, and the results of
some pilot programs are presented.
HIPAA: This
chapter examines the current compliance status, hospital
expenditures, and expected payback that will be achieved from
reduced paperwork burdens.
Rationing
Healthcare: With the very high cost of some advanced treatments
and the concern that society’s healthcare financial resources
may have limits, discussions regarding the sensitive topic of
rationing healthcare have become a public issue. This chapter
introduces the ideas of some bioethicists who have addressed
this issue.
Section III:
Market Sectors
Healthcare
Systems & Networks: This chapter provides financial and
operational data on the largest for-profit, not-for-profit, and
public healthcare systems. Organizational structures for
integrated healthcare delivery systems are also assessed.
Mergers &
Acquisitions: This chapter provides statistics on recent
healthcare mergers and acquisitions, including an analysis of
transactions by type of service, and discusses successes and
shortcomings of some mergers completed a few years ago.
Acute Care
Hospitals: This chapter presents financial and operational data
for acute care hospitals. The impact of specialty hospitals, and
competition between for-profit and not-for-profit hospitals is
discussed. The increasing use of hospitalists is also assessed.
Post Acute:
Provides financial and operational data on the largest
post-acute care systems. The impact of CMS’ proposed revisions
of qualification rules for Medicare rehabilitation payments is
also assessed
Children's
Hospitals & Pediatrics: This chapter provides an assessment of
this market.
Mental Health
Systems: There are approximately 500 psychiatric hospitals
operating nationwide, according to The National Association of
Psychiatric Health Systems. Estimates of the annual cost for
treatment of mental disorders range between $70 billion and $100
billion. This chapter provides an assessment of this market.
Pharmaceuticals:
An assessment of the pharmaceutical industry from the healthcare
provider point-of-view is presented in this chapter.
Health Plans:
This chapter provides an assessment of enrollment, trends, and
coverage of preferred provider organizations (PPOs), health
maintenance organizations (HMOs), and point of service plans.
Public Health:
This chapter looks at America’s public health infrastructure and
new priorities for public health
Blood Supply
Complementary &
Alternative Medicine
Long-Term Care
Home Care
Medical Education
Medical Research:
This chapter quantifies the $60 billion annual research spending
of the National Institutes of Health, pharmaceutical companies,
and private philanthropic medical research
Section IV: Hospitals
Priorities in Hospital Management: Concerns
and critical issues among hospital executives are rank-ordered
based on recent surveys. Other topics discussed in this chapter
include strategies to improve profitability, service line joint
ventures between hospitals and medical groups, physician-owned
and -operated hospitals, accreditation requirements, and
employee morale
Patient
Related Issues: The findings of recent consumer surveys are
presented in this chapter. Other topics discussed include
innovative patient-focused programs, enhancing the patient
experience, hospital amenities, and physician time spent with
patients. Website links are provided for the major patient
satisfaction vendors.
Emergency
Departments: ED statistics are presented and recent
important studies on ED capacity and utilization are summarized.
The recent JCAHO proposed standard to reduce ED overcrowding,
staffing issues, poor reimbursement challenges, and the changing
care mix are also discussed. Also assessed is how
hospitals use new technology, realign staff, and redesign
processes to cope with overcrowding, shifting demands, financial
pressures, and other challenges.
Intensive Care:
This chapter discusses ICU physician staffing, patient safety,
and telemedicine in ICUs.
Hospital-Acquired
Infections: According to the CDC, infections that patients
catch while hospitalized for other health problems add almost $5
billion to the cost of U.S. healthcare every year; hospitals
bear much of this cost. The challenge of infections and
infection control programs are assessed in this chapter.
Accreditation:
This chapter discusses the recent developments of JCAHO and
other accreditation organizations.
Rural
Hospitals: Rural hospitals face major financial challenges,
yet many are profitable. This chapters discusses key financial
elements for rural hospitals, activities of critical-access
hospitals, and for-profit rural hospital chains.
Hospital
Retail: A retail mix is a logical step in providing
additional services to patients, visitors, and employees. This
chapter provides case studies of several medical centers that
have turned to retailers to boost their income.
Information
Technology: This chapter assesses hospital IT budgets,
identifies healthcare IT spending priorities, and discusses IT
outsourcing. Data is presented on the current status of
electronic medical records, computerized physician order entry,
and other specific IT applications.
Overseas
Patients: Annual revenue to U.S. hospitals for the treatment
of foreign patients is estimated at over $1 billion. This
chapter assesses how some leading hospitals have cultivated this
marketplace.
Group
Purchasing: Group Purchasing Organizations (GPOs) purchase
over $200 billion worth of goods annually for healthcare
providers; their buying power saves hospitals an estimated 10%
to 15%. This chapter reviews some of the challenges and changes
that are now taking place in this area.
Contract
Management: Outsourcing is a technique used by
cost-conscious hospitals to cut expenses; it is a $100 billion
annual business. Both clinical and business functions are
outsourced. This chapter discusses market trends and provides
statistics on current outsourcing activities. Website links are
provided for the largest firms providing various types of
healthcare contracts.
Hospital
Design: This chapter assesses expenditures and trends in
hospital and healthcare facility design. Website links are
provided for the largest healthcare design firms.
Food Service:
The healthcare foodservice market is over $6.5 billion annually;
there are over 9,000 hospital restaurants in the United States.
This chapter discusses key issues, priorities, and market
trends.
Security:
Hospital security spending is estimated at over $250 million
annually. This chapter discusses some of the technological
advances which are being implemented and provides some case
studies.
Hospital Bond
Issuance: Trends in hospital bond issuance and ratings in
the recent year are discussed in this chapter.
Section V: Clinics
& Physician Practices
Market
Assessment
Medical Clinic
Management
Physician
Practices: This chapter provides data on the number of
patient visits specific to the diagnoses for which they are
being treated, physician fee schedules, physician compensation,
and group practice operating costs. It also examines some of the
elements that make some medical practices more successful than
others.
Outpatient
Cancer Treatment: Approximately 85% of cancer care is
delivered in community-based centers or physicians’ offices
and for-profit chains continue to add facilities. According to
one estimate, there are over 1,000 outpatient ambulatory-care
cancer centers in the United States. This chapter provides an
assessment of this market.
Ambulatory
Surgery: Over 63% of all surgeries are performed as
outpatient procedures, according to the CDC; with over 35
million outpatient surgical procedures performed annually in the
United States. This chapter provides an assessment of this
market, including a discussion of trends provided by the
Federated Ambulatory Surgery Association.
Boutiques:
Elite physician practices that provide exclusive medical
services to affluent clientele are springing up around the
country. This emerging growth market is assessed in this
chapter.
Section VI:
Emerging Markets
The Internet -
An estimated 93 million Americans, or 80% of adults who use the
Internet, have used the Internet to learn about healthcare
topics. This chapter assesses this consumer use. It also
assesses how hospitals, physicians, and health plans use the
Internet.
Prevention
- There are approximately 1,000 hospital-operated wellness
centers in the United States. This chapter assesses hospital
wellness programs, the economics of public health prevention
programs, and statistics relating to the specific measures
people take to maintain their health. Annual physicals and
preventive screening are also discussed.
Obesity -
Obesity has reached “epidemic levels” in the U.S., according
to the CDC, and related healthcare costs are over $100 billion,
according to the Surgeon General. This chapter assesses what is
being done by the healthcare community to deal with this
epidemic, with solutions including hospital weight management
centers, prescription drugs for weight loss, and bariatric
surgery. Projections on obese population increases are presented
and some current research is reviewed.
Baby Boomers
- Specific areas of emerging opportunity are
identified.
Seniors
Gender
Specific Sports Medicine
Youth
Telemedicine
- An estimated $3 billion is spent annually in the U.S. on
telemedicine, yet telecommunications technology – if
appropriately utilized – has the potential of saving $30
billion each year. This chapter discusses the current status of
telemedicine, current applications, the telehealth
infrastructure, and potential market barriers.
Disease
Management - This chapter provides a market assessment of
disease management expenditures and paybacks, program overviews,
and case studies.
Genetic
Technology
Tissue
Engineering
Section VII:
Specialist Markets
Cancer -
The direct cost of cancer treatment in the U.S. exceeds $60
billion each year. This chapter provides data on prevalence,
cancers in men and women, hospital and specialized clinic
treatment, trends in cancer treatment, advancements in testing,
progress in prevention, and new treatment drugs.
Cardiovascular
- This chapter provides current statistics on prevalence, the
distribution of expenditures, cardiovascular operations and
procedures, and regional demographics of heart disease.
Strokes -
This chapter provides an assessment of the expenditures and
discusses hospital patient treatment, drug therapy markets, and
geographic influences.
HIV / AIDS
Infectious
Diseases - Healthcare activities are discussed related to
West Nile virus, SARS, hepatitis, colds, flu, sexually
transmitted diseases, Lyme's disease, anthrax, chickenpox, and
tuberculosis.
Surgery
Transplants
Diabetes
Pain
Management
Alzheimer's
Mental Health
Substance
Abuse
Orthopedics
Back Pain
Kidney Disease
OB / GYN
Hormone Replacement
Osteoporosis
Respiratory
Diseases
Arthritis
Allergies
Sleep
Disorders
Plastic
Surgery
Dermatology
Headaches
Cholesterol
Sports
Medicine
This handbook serves
as the ultimate resource for strategic planning and business
development throughout the various healthcare sectors. This user
friendly resource also provides:
comprehensive
prevalence and expenditure data and forecasts
state-by-state
statistics
over 200 Website
links to additional resources
With thorough and
in-depth assessment of the hospital and physician practice market,
this handbook covers such key topics as:
Quality and
Patient Satisfaction
Marketing
Healthcare Services, Advertising and Public Relations
Founded
in 1972, Richard K. Miller & Associates, Inc. is one of the most
established market research publishers in the United States. Over
20,000 copies of the firm's market research handbooks and studies
have been used by clients worldwide – including over 450 of the
Fortune 500 companies and numerous government agencies.
(information about this
publication is directly from the
publisher)
