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

Winter Green Research
Published Date » 2013-03-28
No. Of Pages » 387

Tele-care improves treatment of chronic disease, reduces cost of care delivery, lets baby boomers age gracefully in their homes, and supports remote delivery of care worldwide. Tele monitoring 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.
Table of Contents

Tele-care Executive Summary
Tele-care Market Driving Forces
Measures of Tele Monitoring Effectiveness
Real-Time Monitoring Of Physiological Data
Home Patient Monitoring Supports Patient Education 
Tele-care Market Shares
GlobalMed
GlobalMed Telemedicine Services
Tele-Monitor Market Shares 
Tele-care Systems Forecasts
Watson

1. Tele-care Market Description and Market Dynamics
1.1. TeleHealth Payor Solutions
1.1.1. Telemedicine Products - Medical Technology 
1.2. Mobile Brings Healthcare Transformation
1.3. Consumer Tele-care
1.3.1. Internet Health Products
1.3.2. VA Tele-care Lauded As Model Healthcare Program 
1.4. US National Prevention Council
1.4.1. UK National Health Service (NHS)
1.4.2. U.S. Veterans Health Administration (VHA)
1.4.3. Chronic Disease Issues
1.4.4. Maximize The Impact Of Technology on Tele-care
1.4.5. Telehealth Reimbursement Set to Grow 
1.5. IBM Watson
1.6. Issues in International Health Policy

2. Tele-care Market Shares and Forecasts
2.1. Tele-care Market Driving Forces
2.1.1. Measures of Tele Monitoring Effectiveness
2.1.2. Real-Time Monitoring Of Physiological Data
2.1.3. Home Patient Monitoring Supports Patient Education 
2.2. Tele-care Market Shares
2.2.1. GlobalMed
2.2.2. GlobalMed Telemedicine Services
2.2.3. Tele-Monitor Market Shares
2.2.4. Bosch
2.2.5. AMD Global Telemedicine 
2.3. Tele-care Systems Forecasts
2.3.1. Tele-care Device Market Thriving
2.3.2. Tele-care Issues 
2.4. Wireless Tele-monitoring Devices
2.4.1. Smart Phone Home Tele Monitoring
2.4.2. eICUs
2.4.3. Rapid Readmissions
2.4.4. Tele-care Originating Site Facility Fee Payment Amount Update
2.4.5. Technical Correction to Include Emergency Department Tele-care Consultations in Regulation 
2.5. Watson
2.5.1. Tele-care IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems
2.5.2. Tele-care Market Forces
2.5.3. UK National Health Service (NHS)
2.5.4. U.S. Veterans Health Administration (VHA)
2.5.5. Measures of Tele Monitoring Effectiveness
2.5.6. Home Patient Monitoring Supports Patient Education
2.5.7. Wireless Telemonitoring Devices
2.5.8. Real-Time Monitoring Of Physiological Data
2.5.9. Bosch Healthcare Tele-care Custom Messaging Feature
2.5.10. Bosch Healthcare Tele-care Wireless Modem Option
2.5.11. Bosch ViTelCare T400 Home Health Monitor
2.5.12. Bosch Installed Base
2.5.13. Bosch Tele-care Solutions
2.5.14. Bosch Tele-care
2.5.15. Bosch Tele-care Systems Certification in Disease Management From NCQA
2.5.16. Bayer / Viterion
2.5.17. Bayer / Viterion Tele-care care
2.5.18. Philips
2.5.19. Intel / GE Care Innovations
2.5.20. Honeywell HomeMed
2.5.21. Honeywell HomMed Genesis Touch™Tele-care
2.5.22. Samsung
2.5.23. Samsung Medical Business
2.5.24. MedApps HealthPAL MA105to Extend the Home Selects VRI
2.5.25. Nonin
2.5.26. VRI
2.5.27. VRI Healthcare Services
2.5.28. Gemalto / Cinterion
2.5.29. Gemalto CINTERION Wireless Module Functions 
2.6. Chronic Disease Conditions
2.6.1. Congestive Heart Failure
2.6.2. Diabetes Chronic Illness Numbers
2.6.3. Incidence of Chronic Disease
2.6.4. Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending, Ninety Percent in the US
2.6.5. Clinical Staff / Patient Ratios: Physician Shortages
2.6.6. Viterion Home Health Outcomes in a CHF Population: 
2.7. Telemonitoring Prices and Reimbursement
2.7.1. Cost of Honeywell Homemed Home Health Monitoring & MedPartner
2.7.2. TouchPointCare 
2.8. Interactive Voice Response (IVR)
2.8.1. Healthcare Providers Use Technology To Improve Effectiveness Of Care Providers
2.8.2. HHSC 
2.9. Tele-Monitoring Alarm Devices
2.10. Tele-Server Regional Markets
2.10.1. Remote Patient Monitoring Market In The US
2.10.2. Remote Patient Monitoring Market In Europe
2.10.3. Bosch Remote Patient Monitoring Regional Market Participation
2.10.4. Smart Phone Installed Base By Country And Region 
2.11. Tele-server Regional Market Segments, Dollars, 2012
2.6.3. Incidence of Chronic Disease
2.6.4. Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending, Ninety Percent in the US
2.6.5. Clinical Staff / Patient Ratios: Physician Shortages
2.6.6. Viterion Home Health Outcomes in a CHF Population: 
2.7. Telemonitoring Prices and Reimbursement
2.7.1. Cost of Honeywell Homemed Home Health Monitoring & MedPartner
2.7.2. TouchPointCare 
2.8. Interactive Voice Response (IVR)
2.8.1. Healthcare Providers Use Technology To Improve Effectiveness Of Care Providers
2.8.2. HHSC 
2.9. Tele-Monitoring Alarm Devices
2.10. Tele-Server Regional Markets
2.10.1. Remote Patient Monitoring Market In The US
2.10.2. Remote Patient Monitoring Market In Europe
2.10.3. Bosch Remote Patient Monitoring Regional Market Participation
2.10.4. Smart Phone Installed Base By Country And Region 
2.11. Tele-server Regional Market Segments, Dollars, 2012

3. Tele-care Product Description
3.1. Telemonitors
3.2. Bosch
3.2.1. Bosch on Medicare's CMHCB Demonstration Project
3.2.2. Bosch Health Buddy System Installed Base 
3.3. Bayer - Viterion
3.3.1. Bayer Viterion 500 
3.4. Philips
3.5. Honeywell
3.5.1. Honeywell HomMed LifeStream 
3.6. Sony
3.7. Tele-care Carts
3.8. GlobalMed
3.8.1. GlobalMed Telemedicine Products - Telehealth Equipment - Medical Technology
3.8.2. GlobalMed Telemedicine Carts - Telehealth Carts
3.8.3. GlobalMed i8500™ Mobile Telemedicine Station
3.8.4. GlobalMed TES (Transportable Exam Station)
3.8.5. GlobalMed FirstExam™ Mobile Telemedicine Station
3.8.6. GlobalMed Teleaudiology Cart - Mobile Medical Carts
3.8.7. GlobalMed Medical Technology Products - Mobile Medical Carts
3.8.8. GlobalMed Mobile Telemedicine Carts
3.8.9. GlobalMed TotalExam™ HD Examination Camera
3.8.10. GlobalMed Diagnostic Imaging - Medical Imaging
3.8.11. GlobalMed Diagnostic Imaging - Medical Imaging Equipment 
3.9. Video Conferencing Health Apps - CMS
3.9.1. Internet Health Products 
3.10. Vidyo
3.11. Cisco
3.12. Google
3.13. Microsoft/Skype
3.14. Polycom
3.15. Intel
3.16. Sony
3.17. eICUs
3.18. TeleHealth Software
3.19. IBM Smarter Analytics
3.19.1. IBM Watson for TeleHelathcare 
3.20. GlobalMed Health Information Exchange
3.20.1. GlobalMed Software
3.20.2. GlobalMed CONi™ Services 
3.21. CapSure® 2.0
3.22. Medical Strategic Planning
3.23. WebMD
3.23.1. WebMD CameraDirect
3.23.2. Hand-held Telemedicine Kit (HTK) 
3.24. Microsoft
3.25. Mobile TeleHealth Product Description
3.26. CareSpeak Communications, FitNow, and Fitbit
3.27. Government Telehealth Initiatives
3.28. US Government
3.28.1. CMS 
3.29. UK Government
3.30. Canadian Government Telehealth Ontario
3.31. Japanese Government
3.32. Taiwanese Government
3.33. Telehealth Networks
3.34. Georgia Telehealth Initiative
3.35. Arkansaw Telehealth Initiative
3.36. Avera Telehealth Network
3.37. Eastern Maine Telehealth Network
3.38. Eastern Montana Telemedicine
3.38.1. Montana Telemedicine Network 
3.39. Idaho and Oregon Telehealth
3.40. Louisiana Telehealth Network
3.41. Mississippi Telehealth Network
3.42. Nebraska Telehealth Network
3.43. California Telehealth Network of Regents of University
3.43.1. Telehealth Network Grantee Site Maps 
3.44. Telecommunications Service Provider Tele-care Initiatives
3.45. Verizon Healthcare Monitoring
3.46. BT
3.47. Deutsche Telecom
3.48. NTT
3.49. AT&T
3.50. EMC
3.51. Qolpac
3.52. Qualcomm
3.53. Tele-care Consulting Companies
3.54. Accenture
3.55. Sutter Center for Integrated Care
3.56. Healthrageous
3.57. Humedica
3.58. Telesofia Medical
3.59. Textron Systems
3.60. ciCoach.com
3.61. American Well Systems
3.62. Boehringer Ingelheim
3.63. PwC
3.63.1. PwC Health & Welfare Benefits Programs 
3.64. Eliza Corp
3.65. Eliza Corp
3.66. Basis Band Personal Health Tracker
3.67. Body Composition Tracker
3.67.1. Linear Software 
3.68. AMD Global Telemedicine
3.68.1. Effective Diagnosis
3.68.2. AMD Global Telemedicine Image and Data Sharing
3.68.3. AMD Global Store and Forward Systems
3.68.4. AMD Global Electronic Medical Record
3.68.5. AMD World Leader In Telemedicine Industry
3.68.6. AMD Telehealth Quality Products
3.68.7. AMD Global Telemedicine Encounter Management
3.68.8. AMD Global Telemedicine Systems and Device Integration
3.68.9. AMD Global Telemedicine Video Conferencing

4. Tele-care Technology
4.1. Patient-Centered /-Participatory Congestive Heart Failure Telemonitoring
4.1.1. Heart Failure Congress 2011
4.1.2. TIM-HF Study CHF
4.1.3. TheTEHAF study
4.1.4. Johns Hopkins Home-Based Telemonitoring 
4.2. Diabetes Remote Monitoring
4.2.1. Diabetes Remote Monitoring Drivers
4.2.2. Partners HealthCare Diabetes Remote Monitoring Program Overview
4.2.3. Partners HealthCare Diabetes Monitoring Member 
4.3. Partners Healthcare Blood Pressure Home Monitoring Health Initiative
4.3.1. Partners Healthcare Blood Pressure Connect 
4.4. Medtronic
4.5. Health Monitoring
4.5.1. Patient-Centered Home Tele Health Monitoring 
4.6. Chronic Heart Failure Clinical Studies
4.7. Texas Pilot Program
4.7.1. Obstructive Sleep Apnea (OSA) A Major Chronic Condition
4.7.2. Hypertension Intervention Nurse Telemedicine (HINTS) Study 
4.8. Ingestible Event Marker
4.9. Real-Time Remote Medical Diagnosis System (RTRMDS)
4.9.1. Tele-pharmacy
4.9.2. Electronic Medical Records Detail Drug Information Effectiveness
4.9.3. Consumers Increasingly Involved In Treatment Decision-Making 
4.10. Health Care Monitoring Solutions Technology
4.10.1. Health Information Exchange Services 
4.11. Home-Based Care
4.12. ‘Mobile Health Clinics'
4.12.1. Self-Service Kiosks
4.12.2. Mobile Health Care
4.12.3. Mobile Office a Set Of Commonly Used Mobile Communication Tools
4.12.4. Telemedicine Allows Medical Professionals To Consult And Diagnose Patients Remotely 
4.13. DICOM Index Tracker NDS Surgical Imaging, LLC
4.14. Population Of The Developed World Is Growing Older, Medical Costs Are Rising, Not Enough Doctors To Heal The Elderly Sick
4.14.1. Remote Monitoring Device 
4.15. US Government Tele-care Subcommittees
4.15.1. Telehealth Product Medical Device Regulation In The United States 
4.16. American Telemedicine Association's Home Telehealth Clinical Guidelines

5. TeleHealth Company Description
5.1. Aetna
5.2. Accenture
5.3. Aetna
5.3.1. Aetna Health Benefits And Insurance Plans 
5.4. AMD
5.4.1. AMD Telehealth Commitment to the Customer
5.4.2. AMD Management
5.4.3. AMD Global Telemedicine Service 
5.5. American Well Systems
5.6. Assa Abloy
5.6.1. Assa Abloy Regional Division - EMEA
5.6.2. Assa Abloy Regional Division - Americas
5.6.3. Assa Abloy Regional Division - Asia Pacific
5.6.4. Assa Abloy Acquisitions 2012 
5.7. AT&T
5.8. Boehringer Ingelheim
5.9. Bosch
5.9.1. Bosch Group 
5.10. Bayer - Viterion
5.11. Biotronik
5.12. BT
5.13. Cardionet
5.14. Centerstone Research Institute
5.15. Centerstone Research Institute
5.16. ciCoach.com
5.17. Cisco
5.18. Cleveland Clinic
5.18.1. Cleveland Clinic MyChart 
5.19. CMS
5.20. Deutsche Telecom
5.21. Eliza Corp
5.22. EMC
5.23. Healthrageous
5.24. Honeywell HomMed
5.25. Humedica
5.26. GlobalMed
5.26.1. GlobalMed Telemedicine Services 
5.27. IBM
5.27.1. IBM Revenue Q2 2012
5.27.2. IBM Business Model
5.27.3. IBM Revenue Second-Quarter 2012
5.27.4. IBM Geographic Regions Q2 2012
5.27.5. IBM Growth Markets Q2 2012
5.27.6. IBM Services Q2 2012
5.27.7. IBM Software Q2 2012
5.27.8. IBM Hardware Q2 2012
5.27.9. IBM Financing Q2 2012
5.27.10. IBM Lombardi 
5.28. Intel
5.29. Kaiser
5.29.1. Kaiser 
5.30. Mayo Clinic
5.30.1. Mayo Clinic Telehealth 
5.31. Medical Strategic Planning
5.31.1. Medical Strategic Planning (MSP) Alliance Organizations 
5.32. Medullan
5.32.1. Medullan Services 
5.33. NTT
5.33.1. Operating Revenues 
5.34. Partners Healthcare
5.34.1. Partners Healthcare Integrated Health Care System 
5.35. Philips
5.36. Polycom
5.37. PwC
5.38. Qolpac
5.39. Qualcomm
5.40. Sorin Group
5.41. Sotera
5.42. Skype
5.43. Sony
5.44. Sutter Center for Integrated Care
5.45. Telecare
5.46. Telesofia Medical
5.47. Textron Systems
5.48. VA Department of Veterans Affairs
5.49. Verizon
5.50. Vidyo
5.51. Walmart
5.51.1. Walmart Affordable Healthcare 
5.52. Worksmart

List of Tables

List of Tables and Figures

Table ES-1: Tele-care Market Driving Forces
Table ES-2: M-Health Market Driving Forces
Table ES-3: Telemonitoring Market Driving Forces
Figure ES-4: Tele-care Market Shares, Dollars, Worldwide, 2012
Table ES-5: Tele-care Market Shares, Dollars, Worldwide, 2012
Figure ES-6: Tele-Monitor Market Shares, Dollars, 2012
Figure ES-7: Tele-Server Market Forecasts, Dollars, Worldwide, 2012-2019
Figure ES-8: Tele-care Market Factors
Figure ES-9: Aging of the Population, 600 Million Elderly Individuals World Wide
Figure ES-10: Tele-care Challenge: One Billion Adults Over Weight, 86 Million Individuals with Chronic Conditions
Figure ES-11: Tele-care Goal: Improve Lifestyle Choices 
Table 1-1: Telemedicine Product Benefits
Table 1-2: Telemedicine Product Features Integrated systems.
Figure 1-3: Mobile Transformation of Business Model
Figure 1-4: Mobile Transformation of Healthcare Business Model
Figure 1-5: Healthcare Mobile Business Challenges
Figure 1-6: US National Prevention Council Documents Increase in Number of Americans Healthy At Every Stage of Life
Figure 1-7: Chronic Disease Issues
Figure 1-8: Healthcare Spending Per Capita by Country
Figure 1-9: International Comparison of Spending on Health 1980-2008
Figure 1-10: Supply, Use and Price of Diagnostic Imaging in OECD Countries. 
Table 2-1: Tele-care Market Driving Forces
Table 2-2: M-Health Market Driving Forces
Table 2-3: Telemonitoring Market Driving Forces
Figure 2-4: Tele-care Market Shares, Dollars, Worldwide, 2012
Table 2-5: Tele-care Market Shares, Dollars, Worldwide, 2012
Figure 2-6: Tele-Monitor Market Shares, Dollars, 2012
Table 2-7: Tele-Monitor Market Shares, Dollars, Worldwide, 2012
Figure 2-8: Tele-Server Market Forecasts, Dollars, Worldwide, 2012-2019
Table 2-9: Tele-care Market Forecasts Units and Dollars, Worldwide, 2012-2019
Table 2-10: Tele-Servers Installed Market Forecasts Units, Worldwide, 2012-2019
Table 2-11: Tele-care Servers Shipped, Market Forecasts Units, Worldwide, 2012-2019
Table 2-12: Smart Phone Market Shares, Units and Dollars, Worldwide, 2011
Table 2-13: Total Smart Phone Installed Base Units, Worldwide, 2012-2019
Table 2-14: Remote And Wireless Patient Monitoring Device Using Wireless Networks
Table 2-15: The Medicare Tele-care Originating Site Facility Fee and MEI Increase by the Applicable Time Period
Table 2-16: Factors Likely To Create Shift To Telehealth
Table 2-17: Telehealth Adoption Rate Issues And Concerns
Figure 2-18: Tele-care Market Factors
Figure 2-19: Aging of the Population, 600 Million Elderly Individuals World Wide
Figure 2-20: Tele-care Challenge: One Billion Adults Over Weight, 86 Million Individuals with Chronic Conditions
Figure 2-21: Tele-care Goal: Improve Lifestyle Choices
Table 2-22: Tele-Monitoring Critical Issues Addressed
Table 2-23: Tele-Monitoring Clinical Results
Table 2-24: Tele Health Monitoring Problem Solution Aspects
Table 2-25: Gemalto CINTERION Wireless Module Functions
Figure 2-26: Congestive Heart Failure (CHF) Patients Worldwide, Forecasts, Number, 2012-2019
Figure 2-27: Diabetes Patients Worldwide, Forecasts, Number, 2012-2019
Table 2-28: Number of Patients with Disease Conditions Requiring Wheelchairs, By Diagnosis, Number, Worldwide, 2012-2019
Figure 2-29: Follow Up Link Increases Exponentially In Europe
Table 2-30: Tele-Monitoring Program Benefits
Table 2-31: Tele-Monitoring Alarm Devices
Figure 2-32: Tele-Server Regional Market Segments, Dollars, 2012
Table 2-33: Tele-Server Regional Market Segments, 2012
Table 2-34: Smart Phone Installed Base By Country and Region
Figure 2-35: Tele-Server Regional Market Segments, Dollars, First Three Quarters 2012
Table 2-36: Tele-Server Regional Market Segments, Dollars, First Three Quarters 2012 
Figure 3-1: Bosch Health Buddy System
Table 3-2: Bosch Health Buddy Tele-care Evidence Based Management Programs*
Figure 3-3: Bayer Viterion 500
Table 3-4: Bayer Viterion 500 Features
Figure 3-5: Philips Telehealth
Figure 3-6: Honeywell Genesis Touch
Figure 3-7: Sony Healthcare Products
Figure 3-8: GlobalMed Telemedicine Carts
Figure 3-9: GlobalMed Telemedicine Carts Mobile Medical Stations
Figure 3-10: GlobalMed Telemedicine Cart - Mobile Medical Station
Figure 3-11: GlobalMed i8500 Teleaudiology Station
Figure 3-12: GlobalMed Telehealth Cameras
Figure 3-13: GlobalMed TotalExam™ HD Examination Camera
Figure 3-14: TotalExam™ Examination Camera
Figure 3-15: GlobalMed iREZ® i5770 PTZ Camera
Figure 3-16: Vidyo Telehealth
Figuree 3-17: Cisco Hospital Video Survellience
Figure 3-18: Polycom Telehealth
Figure 3-19: Intel mHealth
Figure 3-20: CMS Services
Table 3-21: CMS Medicare Coverage
Figure 3-22: Telehealth Network of Regents of University of California
Figure 3-23: Verizon Healthcare Monitoring
Figure 3-24: BT eHospital
Figure 3-25: Deutsche Telecom e-Health
Figure 3-26: NTT TeleHealth
Figure 3-27: AT&T Telehealth Solutions
Figure 3-28: Qolpac Telehealth
Figure 3-29: Healthrageous Telehealth
Figure 3-30: Humedica TeleHealth
Figure 3-31: American Well Systems Consultation
Table 3-32: American Well Systems Consultation Features
Figure 3-33: PwC TeleHealth
Figure 3-34: Basis Band Personal Health Tracker 
Table 4-1: New England Journal of Medicine (NEJM) Sarwat I. Chaudhry, M.D Telemonitoring Research and Letters That Critique The Study
Table 4-2: Evident Health Services Target Patient Metrics, Best Practice Targets Blood Pressure, Blood Lipids
Table 4-2 (Continued): Evident Health Services Target Patient Metrics, Best Practice Targets Blood Pressure, Blood Lipids
Table 4-3: Evident Health Services Target Patient Metrics, Best Practice Obesity and Insulin Targets
Table 4-4: Partners Healthcare Tele-Monitoring Benefits
Figure 4-5: Medtronic CareLink Disease Management
Figure 4-6: Medtronic Device Monitoring and Disease Management
Figure 4-7: Device Follow-up and Disease Management
Figure 4-8: Medtronic Cardiac Implantable Device Monitoring Heart Failure Guidelines
Figure 4-9: Viterion Device for Tele-care Monitoring
Table 4-10: Health Information Exchange services Example Solutions
Table 4-11: Health Information Exchange Services Benefits
Table 4-12: Home-Based Care Telemedicine Benefits
Table 4-13: Mobile Health Care Solution
Table 4-14: Mobile Office Solutions
Table 4-15: Telehealth Readiness Assessment System Functions 
Table 5-1: Assa Abloy Regional Division - EMEA Situation
Figure 5-2: Centerstone Research Institute Telehealth
Figure 5-3: Kaiser Thrive Campaign
Table 5-4: Kaiser Services
Table 5-5: Mayo Clinic Services
Figure 5-6: Medullan Services
Figure 5-7: VA Services

List of Figures

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