U.S. LONG-TERM ACUTE CARE MARKETS

142 Pages | 61 Exhibits | 2009 Analysis | Forecasts Through 2013

OVERVIEW:
Faced with escalating costs, acute hospitals require alternative care locations to accommodate the needs of extended-stay patients, who account for a substantial proportion of healthcare expenditures. Long-term acute care hospitals (LTACHs) are designed to accommodate the complex needs of these patients. These hospitals offer a range of services that includes mechanical ventilation and respiratory therapy, wound care, dialysis, and cardiopulmonary monitoring. LTACHs offer an attractive, niche market for product suppliers.

Through 2005, the number of LTACHs in the U.S. grew rapidly. Changes in national healthcare policy, however, have greatly affected the organization of these hospitals as well as the type of services offered. This report examines trends in long-term acute care device markets, and provides patient and product forecasts for respiratory therapy, wound care, renal failure, and monitoring technologies through 2013.

TABLE OF CONTENTS:
1. EXECUTIVE SUMMARY

1.1 Trends in LTACH Growth 
	1.1.1 The 25 Percent Rule 
	1.1.2 Short-Stay Outliers 
	1.1.3 The Medicare, Medicaid, & SCHIP Expansion Act of 2007 
1.2 Developments in the U.S. Economy 
1.3 Patient Volumes and Clinical Practice 
	1.3.1 Respiratory Patients 
	1.3.2 Wound Care Patients 
	1.3.3 Renal Failure Patients 
	1.3.4 Other Patients 
1.4 Capital Equipment 
1.5 Aftermarket Sales 
1.6 Competitive Analysis 

Exhibit 1-1: Long-Term Acute Care in the U.S., Facilities and Beds, 2005-2013 
Exhibit 1-2: Long-Term Acute Care, U.S. Patient Forecast by Primary LTC-DRG, 2005-2013 
Exhibit 1-3: Capital Equipment in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 1-4: Selected Accessories & Service Revenues in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 

2. OVERVIEW

2.1 Long-Term Acute Care Facilities in the U.S. 
	2.1.1 Goals and Purpose 
	2.1.2 LTACH Patients 
	2.1.3 Factors Affecting Long-Term Acute Care 
2.2 Trends in Long-Term Acute Care 
	2.2.1 Facility Forecast 
		2.2.1.1 Urban Centers 
		2.2.1.2 Rural Centers 
		2.2.1.3 Freestanding Centers 
		2.2.1.4 Hospitals-within-Hospitals 
	2.2.2 Trends in Length of Stay and Resource Utilization 

Exhibit 2-1: Long-Term Acute Care Patients in the U.S. in 2008 by Type 
Exhibit 2-2: Long-Term Acute Care Facilities, U.S. Forecast, 2005-2013 
Exhibit 2-3: Long-Term Acute Care Patients, Length-of-Stay, 2008-2013 

3. RESPIRATORY THERAPY PRODUCTS

3.1 Ventilators 
	3.1.1 Companies and Products 
3.2 Oxygen Delivery Devices 
	3.2.1 Companies and Products 
3.3 Aerosol Delivery Devices 
	3.3.1 Companies and Products 

Exhibit 3-1:  Modes of Ventilation Used in Long-Term Acute Care 
Exhibit 3-2: Selected Ventilator Products in 2008 
Exhibit 3-3: Selected Oxygen Delivery Devices 
Exhibit 3-4: Selected Types of Aerosol Delivery Devices 
Exhibit 3-5: Advantages/Disadvantages of ADDs in LTACHs 
Exhibit 3-6: Distinguishing Features of Aerosol Delivery Devices 
Exhibit 3-7: Selected Aerosol Delivery Devices in 2008 


4. WOUND CARE PRODUCTS

4.1 Management and Treatment 
	4.1.1 Management Strategies 
	4.1.2 Wound Care Products 
		4.1.2.1 Standard and Advanced Wound Dressings 
			4.1.2.1.1 Companies and Products 
		4.1.2.2 Negative Pressure Wound Therapy 
			4.1.2.2.1 Companies and Products 
		4.1.2.3 Skin Substitutes 
		4.1.2.4 Other Products 

Exhibit 4-1: Wounds Encountered in Long-Term Acute Care 
Exhibit 4-2: Wound Management and Treatment Strategies for LTACH Patients 
Exhibit 4-3: Standard and Advanced Wound Dressings 
Exhibit 4-4: Selected Wound Dressing Products in 2008 
Exhibit 4-5: Selected Negative Pressure Wound Therapy Systems 


5. THERAPY FOR RENAL FAILURE

5.1 Hemodialysis 
5.2 Hemofiltration 
5.3 Peritoneal Dialysis 
5.4 Companies and Products 

Exhibit 5-1: Therapies for Renal Failure 
Exhibit 5-2: Types of Peritoneal Dialysis 
Exhibit 5-3: Selected Dialysis Devices 

6. MONITORING TECHNOLOGIES

6.1 Cardiac Monitors 
6.2 Pulse Oximeters 
6.3 Blood Pressure Monitors 
6.4 Companies and Products 

Exhibit 6-1: Monitoring Technologies Used in the LTACH 
Exhibit 6-2: Vital Signs Monitoring Parameters 
Exhibit 6-3: Types of Pulse Oximeters 
Exhibit 6-4: Selected Monitoring Technologies 

7. LONG-TERM ACUTE CARE IN THE U.S.: PATIENTS & MARKETS

7.1 Facility Growth Through 2013 
	7.1.1 National Policies 
		7.1.1.1 The 25 Percent Rule 
		7.1.1.2 Policies Affecting Short-Stay Outliers 
		7.1.1.3 The Medicare, Medicaid, and SCHIP Expansion Act of 2007 
	7.1.2 Economic Developments 
	7.1.3 Facility Forecast 
7.2 Patient Forecasts 
	7.2.1 Respiratory Patients 
		7.2.1.1 Respiratory Conditions 
			7.2.1.1.1 Mechanical Ventilation Patients 
			7.2.1.1.2 Pulmonary Edema and Respiratory Failure 
			7.2.1.1.3 Pneumonia 
			7.2.1.1.4 COPD 
			7.2.1.1.5 Other Respiratory Conditions 
		7.2.1.2 Respiratory Patient Forecast 
	7.2.2 Wound Care Patients 
		7.2.2.1 Wound Types 
			7.2.2.1.1 Pressure Ulcers 
			7.2.2.1.2 Post-Operative Wounds 
			7.2.2.1.3 Other Wound Patients 
		7.2.2.2 Wound Care Patient Forecast 
	7.2.3 Renal Failure Patients 
	7.2.4 Other Patients 
7.3 Market Analysis 
	7.3.1 Capital Equipment 
		7.3.1.1 Policies Limiting Facility Growth 
		7.3.1.2 Conditions in the U.S. Economy 
		7.3.1.3 Price Competition 
		7.3.1.4 Ventilators 
		7.3.1.5 NPWT Systems 
			7.3.1.5.1 The Impact of Equipment Rentals 
			7.3.1.5.2 Price Competition and Competitive Trialing 
			7.3.1.5.3 Shifting Treatment Patterns 
		7.3.1.6 NPWT Systems - Market Forecast 
		7.3.1.7 Dialysis Machines 
		7.3.1.8 Cardiac Monitors, Pulse Oximeters, and NIBP 
			7.3.1.8.1 Cardiac Monitors 
			7.3.1.8.2 Pulse Oximeters 
			7.3.1.8.3 Blood Pressure Monitors 
	7.3.2 Aftermarket Sales and Patient Consumables 
		7.3.2.1 Airway Management Products 
		7.3.2.2 Oxygen Therapy Products 
		7.3.2.3 Aerosol Delivery Devices 
	7.3.3 Wound Care Consumables 
		7.3.3.1 NPWT Accessories 
		7.3.3.2 Topical Wound Dressings 
		7.3.3.3 Dialysis Accessories 
		7.3.3.4 Patient Monitoring Accessories 
	7.3.4 Competitive Analysis 
Exhibit 7-1: Factors Influencing Facility Growth Through 2013 
Exhibit 7-2: Long-Term Acute Care Facilities and Beds in the U.S., 2005-2013 
Exhibit 7-3: Long-Term Acute Care Facilities by Location and Type in the U.S., 2008 & 2013 
Exhibit 7-4: U.S. LTACH Patient Forecast, 2005-2013 
Exhibit 7-5: Respiratory Patients in Long-Term Acute Care, U.S. Forecast, 2005-2013 
Exhibit 7-6: Pressure Ulcer Patients in Long-Term Acute Care, U.S. Forecast, 2005-2013 
Exhibit 7-7: Wound Patients in Long-Term Acute Care, U.S. Forecast, 2005-2013 
Exhibit 7-8: Renal Failure Patients in Long-Term Acute Care, U.S. Forecast, 2005-2013 
Exhibit 7-9: Other Long-Term Acute Care Patients, U.S. Forecast, 2005-2013 
Exhibit 7-10: Ventilators in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-11: U.S. Recession Impact: Ventilator Capital Equipment Sales in Long-Term Acute Care 
Exhibit 7-12: Negative Pressure Wound Therapy Systems in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-13: Hemodialysis Systems in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-14: U.S. Recession Impact: Hemodialysis Capital Equipment in Long-Term Acute Care 
Exhibit 7-15: Cardiac Monitors in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-16: Pulse Oximeters in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-17: Pulse Oximeters by Type, U.S. Market Forecast, 2005-2013 
Exhibit 7-18: Blood Pressure Monitors in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-19: Airway Management Products and Ventilator Accessories in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-20: Oxygen Therapy Consumables in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-21: High-Flow Oxygen Therapy Consumables in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-22: Low-Flow Oxygen Therapy Consumables in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-23: Aerosol Delivery Devices in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-24: Metered Dose Inhalers in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-25: Small and Large Volume Nebulizers in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-26: Ultrasonic Nebulizers in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-27: NPWT Accessories in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-28: Standard Wound Dressings in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-29: Advanced Wound Dressings in the LTACH, U.S. Market Forecast, 2005-2013 
Exhibit 7-30: LTACH Wound Dressings, U.S. Market Forecast, 2008 & 2013 
Exhibit 7-31: Dialysis Accessories in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-32: Patient Monitoring Accessories in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-33: Selected Accessories and Service Revenues in Long-Term Acute Care, U.S. Market Forecast, 2005-2013 
Exhibit 7-34: Competitors in Long-Term Acute Care in 2008 

8. COMPANY PROFILES 

Exhibit 8-1: Long-Term Acute Care Company Profiles


COMPANIES COVERED:

  1. Activaero Technologies
  2. Aerogen
  3. Allied Healthcare Products
  4. Amsino International
  5. B&B Medical Technologies
  6. Cardinal Health
  7. CHAD Therapeutics
  8. Covidien
  9. Dadsun
  10. DeVilbiss Healthcare
  11. Draeger Medical
  12. Flaem Nuova
  13. Flexicare
  14. GaleMed
  15. Hamilton Medical
  16. Hans Rudolph
  17. Hartmann International
  18. Hsiner
  19. Kimberly-Clark
  20. Kinetic Concepts (KCI)
  21. Newport Medical Instruments (NMI)
  22. Ohio Medical
  23. Respan Respiratory Products
  24. Respironics (Philips Healthcare)
  25. Salter Labs
  26. Smith & Nephew
  27. Smiths Medical
  28. Teleflex Medical
  29. Trudell Medical International (TMI)
  30. Unomedical
  31. Ventlab
  32. VersaMed (GE Healthcare)
  33. Westmed
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