Peek No: 20  
Dec 03, 2003 

Hello!

A healthy nation is a wealthy nation. A peek into the healthcare sector can sum up the social status of an economy. This issue, our team has adopted a two-pronged strategy: one, to assess the healthcare expenses of our nation and two, to peek into the functioning of our hospitals.

All these details, after a look into the performance of our economy!

Real GDP
As per the Bureau of Economic Analysis estimates, the preliminary real GDP is to grow at an annual rate of 8.2% during the third quarter of 2003. This was revised upwards by 1% from October's real GDP rate of 7.2%.

The prime movers of the preliminary real GDP in the 3rd quarter are personal consumption expenditures, equipment, software and exports. These forces gained momentum with the negative growth of imports.

Happy peeking!

Editor
Marketspeek
Executive Editor - Dr. Sharon Livingston
Editor - Vijay

 Week's Peek


Marketspeek - U.S - Healthcare

  • Healthcare expenses can be classified as under:
    • Hospital care
    • Professional services
      • Physician
      • Others
    • Prescription drugs
    • Nursing home
    • Others
  • Of the above, hospital care occupies close to 1/3rd of the expenses, followed by physician services, amounting to 23%.
  • Prescription drugs, a category that has a strong linkage with the share enjoyed by Physicians, account for approximately 10% of the total spending on healthcare.
  • Healthcare spending, as a percentage of the Gross Domestic Product (GDP) of the U.S economy, has crossed the 14% mark.
  • Private insurance has emerged as the leading healthcare source among other Payer sources. This segment is estimated to receive close to 35% of the total healthcare spending.
  • Medicare and Medicaid together occupy 32% of the spending.
  • Private insurance companies account for 40% (approx.) of the costs of hospitals.


Vital Statistics

  • Due to an aging population and detection of new diseases, the inpatient admissions are on the rise. The number of inpatient admissions has already crossed 34 millions annually, in the U.S.
  • While the admissions are on the rise, the number of inpatient days is on the decline. The total inpatient days stands at around 200 million days. The underlying reasons are:
    • Growing number of day care procedures
    • Development of techniques like keyhole surgeries, where the duration of stay is very low.
  • On the other hand, the number of outpatient visits has grown beyond 500 million.
  • The quantum of visits to the Emergency Department is also steadily rising. These visits hover around 100 million in a year. The lack of attention towards preventive care and the growing volume of uninsured population are cited as reasons for this ongoing trend.
  • There have been a growing number of Emergency Department diversions. Among the reasons, lack of critical care facilities stands as the foremost. An overcrowded emergency function fares as the next frequent reason for the diversion of emergency cases.

Analysis

  • Every hour spent on patients in an Emergency Department requires an equivalent amount of time on paper work. This limits the availability of staff and also triggers diversions. Hospitals can be better off by making prudent investments in automating the paperwork.
  • There is a regular leap of technology in medical applications and treatment. Each version of advanced medical technology also witnesses a jump in costs. These escalating costs keep the advanced treatments away from the reach of the uninsured and the low-end medical insurance buyers. Hospitals need to ensure the reach of services to all segments of the market.
  • Debt instruments (bonds) of non-profit hospitals are increasingly downgraded. Fundamental issues like the rise in the average age of plant for hospitals play a crucial role in widening the gap between hospitals and the required capital.
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   Wish I Were

Cerner Corporation designs and develops clinical information systems for the health-care industry. It is motivated with the goal of building a better model of healthcare delivery by leveraging on technology. The company has more than 1,000 associates and has seen its revenues cross $150 million. Cerner is one of the companies known for doubling its business every two years.

Neal Patterson founded Cerner in 1979. The founder stated that he sensed a transformation going on. He was among the first to realize that the computer would play a critical role in rendering real value to any organization, at a higher plane, through apt application software.

Cerner had known what it takes to make it big. It raised $13 million--$14 million in equity and never raised any money since then. The company believes that the best equity is the money it earns through its operations.

The founder’s ability to visualize and understand the tempo of development has made all the difference. Patterson states, “Losing your fear--you always want the fear. It's the ability to go through the fear. The fear, the emotional part, is what keeps most people from going through it. I'm absolutely convinced if you didn't have the fear, you'll probably become reckless. It is a natural, healthy thing to be afraid of it.”

For further reading:

http://www.pikes.org/wdaa03.html

http://smallbusinessschool.org/

www.nasbic.org/success/stories/cerner.cfm

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   BrandFact

Nintendo kicked off its operations in 1889 by manufacturing playing cards in Kyoto. In 1947, it started a distribution company called Marufuku. In 1959, it began printing playing cards with Walt Disney characters, for children.

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  This Week that Age

1st December 1906 - The Cinema Omnia Pathe, considered the world's first cinema, opened in Paris.

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  Make us Work for You

Our research team will be glad to work on a research assignment for you. Download the proposal requisition form and commission our cost-effective research services.

Click to download the proposal requisition form.

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  Insight

Continuous effort - not strength or intelligence - is the key to unlocking our potential.

-- Liane Cordes
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