9. 在宅医療プロバイダー・トップ10
1991年のトップ10インフュージョン・業者:
現在のランキングと比較
1991 1999
1. Caremark, Inc. Coram Healthcare
2. New England Critical Care Coram Healthcare
3. Home Nutritional Services Home Medical of America
4. T2 Medical Coram Healthcare
5. HMSS Coram Healthcare
6. Homedco Infusion Apria Healthcare *
7. Home Intensive Care Home Medical of America
8. Curaflex Infusion Services Coram Healthcare
9. Total Pharmaceutical Care Apria Healthcare *
10. Abbot Home Health Care In the process of closing
* Apria Healthcare sold all of its infusion businesses in the westcoast. There are still a few left in the eastcoast and
southeast regions.
10. 在宅医療プロバイダー・トップ10
収益のランキング
1. Olsten Health Services 6. American Homepatient
(As of 1/99 - $4.60 billion) (As of 9/98 - $307.7 million)
2. Integrated Health Services 7. Staff Builders
(As of 12/98 - $2.97 billion) (As of 11/98 - $307.4 million)
3. Apria Healthcare Group 8. Pediatric Services of America
(As of 12/98 - $933.8 million) (As of 9/98 $302.5 million)
4. Coram Healthcare 9. Nursefinders
(As of 12/98 - $526.5 million) (As of 9/98 - approx. $200 million)
5. Lincare Holdings 10. Home Health Corp. of America
(As of 12/98 - $487.4 million) (As of 9/98 - approx. $198 million)
15. 米国在宅ケアーシステム
Step 1
Identify Home Care Patients
在宅患者を特定する
Step 3
Step 2
Patient Assessment & Coordination
Home Care Referrals to by Provider
Provider プロバイダーによる
プロバイダーに 患者評価と 調整
在宅患者の 紹介
Step 4 Step 6
Step 5 Discontinue from
Patient Care Plan
患者のケアー計画 Home Care Process Home Care Services
在宅ケアーのプロセス 在宅ケアーサービスの 中止
16. ステップ 1: 在宅患者を特定する
Respiratory Therapy
IV Therapy 酸素関連
TPN
Enteral 軽重栄養 Oxygen
Chemotherapy 化学療法 CPAP
Pain Management BiPAP
疼痛管理 Apnea Monitor
Respiratory Med, etc.
Antibiotics 抗生剤
Etc.
Home Care Patient
在宅患者
Home Health Nursing
Medical Equipments 訪問看護・介護
医療機器
Skilled Nursing
Wheelchair Private duties
Bed Nursing aides
Walker/Crutches Occupational therapy
Bath Products Physical therapy, etc.
Commodes, etc.
25. ステップ 2: プロバイダーに在宅患者を紹介
最終的な意思決定者及び支払い者:
保険会社とマネジッドケアー組織
Hospital
Physicians & Groups 病院
Managed Care Organizations
医師グループ マネジッドケア組織
Home Care
Ambulatory Center Patients Long-Term Care or Nursing Homes
外来センター 在宅患者 長期期間・介護センター
Clinic Hospice
クリニック ホスピス
Subacute &
Rehabilitation Center
リハビリセンター
42. サポーターへのお礼
Phil Baird, Vice President of Franchise, Interim
Healthcare
Curt Boxley, Vice President, Trinity Care Infusion
Services
Sharon Guller, Administrator, SunPlus Home Health
Dora Liang, former Supervisor, UCLA Home Infusion
Services
John Rice, Pharmacist, VNA Advanced Infusion
Systems
43. サポーターへのお礼
Ernie Tokifuji, General Manager, Lincare
Mike Voelker, General Manager, Home Medical of
America
All infusion device manufacturers
Abbott - Sabratek
Gish Biomedical - Sherwood
I-Flow - Sims Deltec
McKinley - Sorenson
Novaris - Zevex
Ross