Healthcare in the USA

An Expert's View about Medical, Health and Cosmetics Products in the United States

Posted on: 4 Oct 2010

Amid challenging economic conditions, pending healthcare reform, and the country’s shifting healthcare demands, the US healthcare industry and its future is continuing to be shaped.

Healthcare ? USA Sector Report Healthcare USA Produced by: Erin McInerney, Business Development Associate UKTI Lead Post, Boston, Massachusetts Last revised February, 2010 Whereas every effort has been made to ensure that the information given herein is accurate, UK Trade & Investment or its sponsoring Departments, the Departments of Trade & Industry and Foreign & Commonwealth Office, accept no responsibility for any errors, omissions or misleading statements in that information and no warranty is given or responsibility is accepted as to the standing of any firm, company or individual mentioned. Healthcare ? USA Table of Contents OVERVIEW 3 CHARACTERISTICS OF MARKET 3 OPPORTUNITIES 8 KEY METHODS OF DOING BUSINESS 10 MORE DETAILED SECTOR REPORTS 11 UKTI SPONSORED INDUSTY EVENTS 11 ATTENDANCE THROUGH UKTI 13 ADDITIONAL INDUSTRY EVENTS 13 CONTACTS 20 PUBLICATIONS 23 Page 2 of 24 Healthcare ? USA OVERVIEW Amid challenging economic conditions, pending healthcare reform, and the country?s shifting healthcare demands, the US healthcare industry and its future is continuing to be shaped. Healthcare is a major contributor to the US economy, providing 14.3 million jobs (2008) and pumping 13.4% of revenue into research and development. Healthcare spending is estimated to have reached $2.5 trillion in 2009, a record 17.3% of the economy. At $91.3 billion, the US is the global leader in the medical device market accounting for 41% of its total value. Hospitals, the largest end user of medical equipment, have also been under pressure from the government and other third party payers to take cost savings measures. This produces changes in healthcare delivery causing a shift from inpatient admissions to outpatient visits and altering the amounts and types of products purchased. The rise in unemployment means that patients are postponing elective procedures since they are no longer covered by employee-sponsored health insurance. This is reflected in the enrolment in private health insurance which dropped from 196.4 million to 195.4 million in 2008. Additionally, employers are seeking to share health insurance costs with their workers and increase workers? accountability for managing their personal wellness. Through comprehensive healthcare reform, the government is attempting to combat the rising healthcare costs and expand affordable and quality coverage to all Americans. Federal stimulus funds of $1.1 billion and $19 billion, respectively, have been allocated to conduct comparative effectiveness studies and to drive adoption of electronic health records. Now more than ever, technologies and treatments need to rely on quality indicators and evidence-based outcomes to demonstrate their value. CHARACTERISTICS OF MARKET Globally competitive and technologically diverse, the US medical equipment and supplies industry is divided into five sectors: 1. Surgical and medical instruments 2. Surgical appliances and supplies 3. Dental equipment and supplies 4. X-ray apparatus and tubes 5. Electro-medical equipment Medical device clusters ranked by four measures of economic size and impact, expressed in both absolute size and per capita terms, show Minnesota and Massachusetts as the top two states in the production of medical devices followed by California, Illinois, Connecticut and Utah. Developments in this industry have drastically reduced the invasiveness of surgical procedures, shortened recovery times and lowered medical costs. In the USA, this trend is continuing at a rapid pace, aided by advances in electronics and biotechnology. Medical devices and biotechnology developments are becoming more complementary over time, as devices of increasing sophistication and miniaturisation are used to deliver new pharmaceutical and biotechnological products. In the future, nano devices may be used to deliver biological agents directly to cancer cells. Regulatory Environment The industry is regulated by the Food & Drug Administration, which controls most aspects of the listing, manufacture, sale and marketing of both Pharmaceuticals and Medical Devices in the USA. FDA Mission: to promote and protect the public health by helping safe and effective Page 3 of 24 Healthcare ? USA products reach the US market in a timely way and monitoring products for continued safety after they are in use. Their work is a blend of law and science aimed at protecting consumers. A magnitude of information with regard to market requirements, quality control and government procedures can be accessed on the FDA?s website A key piece of regulation is the Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy and sets standards for the security and confidentiality of patient information. Federal law required health plans, clearinghouses, and providers that conduct certain electronic transactions to be compliant with the HIPAA transaction standards. UK companies conducting clinical trials in the US must ensure that they and their vendors are HIPAA compliant. Legal counsel has inferred that meeting EU privacy requirements suffices for US HIPAA. Reimbursement It is essential that UK companies familiarise themselves with the US Healthcare Insurance system in order to have at least a basic understanding of the reimbursement environment. Reimbursement activities are a crucial component of business planning that needs to be assumed at the early stages of the product development timeline. The data needed to support reimbursement submission may be significantly different than the data obtained from clinical studies. The US insurance system is comprised of a public system administered by the Centres of Medicare and Medicaid (CMS) in Washington DC and provides coverage for about 35% of US citizens Private insurers and Managed Care Organisations provide coverage for the other 65% of insured Americans primarily through employer-based health insurance plans. Examples: Managed Care Organisations - Kaiser Foundation Health Plans; UnitedHealth Group; Cigna Healthcare Maintenance Organisations - Blue Cross Blue Shield; Tufts; Healthplan; Harvard Pilgrim; Aetna Private Insurers - Aetna; BCBS; Prudential; MetLife Currently almost 45.7 million Americans have no insurance at all ? either out of choice, cost or because they do not qualify for any of the above programs. The proposed healthcare reform legislation has the potential to drastically alter the insurance landscape by expanding coverage to all citizens. In order to best position themselves in a very competitive industry, UK companies need to carefully consider their specific target market and devise reimbursement strategies that would best serve each given that local markets may be comprised of very different dynamics. Page 4 of 24 Healthcare ? USA Regional Analysis Boston Consular District Territory covered: New England New England is home to around 300 hospitals (including 40 teaching hospitals), almost 800 medical device companies, and is a major market for hospital and medical research supplies due to the concentration of large medical research institutes. Massachusetts is the most active state in the healthcare sector receiving substantial federal R&D grants, and has the second largest concentration of medical device manufacturing and development. The high concentration of researchers, academic medical centres, entrepreneurs, venture capitalists, and biotech, medical device and pharmaceutical companies in close proximity has established the Boston area as a hotbed for innovation. Dominant sectors are healthcare IT, medical diagnostics, personalised medicine and medical devices. Massachusetts is aiming to be a national leader in the country?s move to ?eHealth.? As a result, 34 institutions are working together to develop ways to deliver eHealth in the state. Leading companies in the area include Aetna health insurers, Boston Scientific (medical device company), CVS (pharmacy chain), Harvard Medical Center, Partners Healthcare (hospital network), Smith & Nephew?s Endoscopy world headquarters, Inverness Medical and Covidien. Chicago Consular District Territory covered: Midwest The Midwest is home to around 1500 hospitals and a quarter of the US medical device manufacturers, primarily clustered in the states of Illinois, Minnesota and Indiana. Illinois has three of the largest US manufacturers (Baxter, Abbott, Medline) of healthcare products and more than 340 producers of medical technology products. Key sectors include diagnostics, therapeutics and medical equipment. Chicago is also host to a number of leading associations, including the American Medical Association, the American Hospital Association, the American Dental Association and the American College of Surgeons. Meanwhile, Minnesota is home to more than 8,000 healthcare companies (including 3M, Medtronic and St. Jude Medical) and 800 FDA-registered medical technology manufacturers, mostly focused on the areas of cardiology, neurosurgery and orthopaedics. Indiana is focusing its efforts on four areas (orthopaedic products, diagnostics, high-tech cardiac implants, and health IT) through companies such as Page 5 of 24 Healthcare ? USA DePuy, Cook, Roche and new initiatives such as the Indiana University School of Informatics. Major healthcare companies based in the region include GE Medical, Cardinal Health, and providers such as the Mayo Clinic and the Cleveland Clinic. Leading group purchasing organisations (GPOs) such as Consorta, Amerinet and MedAssets combine to make the Mid- West a key hub within the United States. Houston Consular District Territory covered: South Healthcare companies in Texas are clustered around the cities of Houston, Dallas, Austin and San Antonio. Texas is home to 685 medical equipment manufacturers, ranking the state fifth in terms of employment in the sector. Texas is ranked first in number of hospitals and third in number of physicians in the country. There are 14 hospitals in the state ranked in the top 10 nationally within their speciality. Houston is home to the Texas Medical Center, the largest medical complex in the world, with 125,000 people passing through the centre daily. Dominant sub-sectors in Texas include cancer treatment centres, cardiovascular care, home healthcare, biodefense and medical-readiness in relation to homeland security. Texas is a national leader in clinical trials, specifically in cancer for global and domestic pharmaceutical companies. Leading companies include one of the major group purchasing organizations, Novation; large orthopaedic companies such as DJO Surgical; and various equipment manufacturers including Kinetic Concepts and Cyberonics. Healthcare providers include Methodist Hospital, St Luke?s Heart Institute, Baylor University Medical Center and Parkland Memorial Hospital and Menninger psychiatric hospital. Miami Consular District Territory covered: Gulf Coast Nashville, Tennessee is widely recognised as the healthcare services industry capital shaping national and international healthcare landscapes. It is widely recognised as the healthcare services industry capital, and is home to AmSurg, Community Health Systems, HCA, Healthways, LifePoint Hospitals, the Vanderbilt University Medical Centre and Meharry Medical College among others. Its 300 healthcare companies account for nearly $80 billion in revenue. Florida?s large and vibrant healthcare sector employs more than 646,000 people and boasts a collaborative climate that has helped grow and attract innovative industry institutions. Its medical device areas of excellence include minimally invasive surgery, disposable devices and supplies, orthopaedic and cardiac implants, diagnostic imaging, and sterilisation equipment. Georgia is home to the headquarters of the U.S. Centers for Disease Control and Prevention (CDC) and to the headquarters of several non-profit organisations, including the American Cancer Society, the Carter Center and the Arthritis Foundation. Major companies in the region: Smith & Nephew Orthopaedics, Siemens Molecular Imaging, Inc., Wright Medical Group, Inc. Los Angeles Consular District Territory covered: Southern West Coast There are over 1,100 companies in this region, the majority of which are in the cities LA and San Diego. The region includes one of the three internationally recognised US biotech clusters in San Diego. Amgen is the obvious large biotech that dominates the industry in the Southern CA region, however many other companies, such as Biogen Idec, Pfizer and Genzyme, have facilities in the region. State activities in the region (CA and AZ) are targeted initiatives in the biosciences, including investments in stem cell research. The states are creating large, multipurpose funds that are strategically investing in the state?s bioscience infrastructure. Often, these funds can be used for R&D facilities, faculty recruitment, translational research, and commercialization. In Healthcare, the major concentrations of companies are around LA, Orange County and San Diego. The largest employer is Sola International, a subsidiary of Carl Zeiss of Germany. Other significant players are Sybron Dental Specialities, Advanced Medical Optics and Mentor Corp. Arizona is also a hub for healthcare and devices, with key companies including Ventana Medical Systems and WL Gore & Associates Page 6 of 24 Healthcare ? USA New York Consular District Territory covered: East Coast Healthcare in the states of New York, New Jersey, Pennsylvania and Connecticut is mostly focused on the manufacturing and development of medical devices. The area?s strength in healthcare is largely based on an established research infrastructure, large manufacturing industries and the presence of global pharmaceutical companies. 60% of the nation's pharmaceutical industry is located within 50 miles of New York City with major facilities of 15 of the 25 largest pharmaceutical companies in New Jersey. They include Wyeth, Merck and Johnson & Johnson. The Greater Philadelphia region ranked #2 nationally in the life science industry in a 2009 report, due to a strong blend of established pharmaceutical companies, research infrastructure, world-renowned universities, emerging start-ups, workforce, and support network for entrepreneurs. The Central Pennsylvania boasts over 250 companies, with strengths in medical devices, manufacturing biologics and diagnostics, and contract research and development. Pittsburgh is a global leader in organ transplantation, cancer care, women's health and medical research. In 2008, Pennsylvania ranked #4 in NIH Funding with more than US$1.3 billion awarded to academic and research institutions. Connecticut has over 230 FDA registered medical device manufacturers mainly centred on instrument and surgical appliance, and supply manufacturing. Growth areas include tissue engineering, orthopaedic implants, cardiac rhythm management devices and minimally invasive surgical devices. The leading research hubs in the region are New York City?s Rockefeller University, Columbia University, Weill Cornell Medical College, NYU, Albert Einstein College of Medicine and the State University of New York (SUNY) Albany. San Francisco Consular District Territory covered: Northern West Coast The Northern West Coast is home to thriving life sciences clusters around San Francisco, CA, Seattle, WA/Vancouver BC - and an emerging industry around Portland, OR. Northern California boasts 1,377 life sciences companies. This area, traditionally a centre for biopharmaceuticals, is now expanding to include biomedical devices, particularly diagnostics. Oregon is home to 243 bioscience companies (56 pharma/diagnostic, 95 medical device) and is known for its strength in manufacturing. The vast majority of companies around San Francisco are active in R&D in pharmaceuticals and biotechnology but similar to Massachusetts, California has comparatively few manufacturing facilities. Another area of activity is alternative energy; biofuels and biomass separate from cellulosic technologies. CIRM has driven stem cell research and commercialisation in the area, while healthcare focuses on convergence of technologies, devices and assistive technologies with about 800 companies in the region. Washington, DC Embassy District Territory covered: Southern East Coast The Washington, DC area is home to the nation?s key regulatory organizations, lobbyists and some leading-edge healthcare providers. A most important player is the Food and Drug Administration (FDA), which is responsible for protecting the US consumer by managing company registration, pre-market registration device listing, regulatory compliance and enforcement. Also in DC, the Centers for Medicare and Medicaid (CMS) administer the primary public healthcare programs, providing healthcare coverage for more than 70MM Americans under the Medicare (those over 65) and Medicaid (low-income as defined by the government) schemes. The National Institute of Health (NIH), in Bethesda, Maryland, is the U.S. government?s focal point for health research with a budget of roughly $29.5 billion in 2008. The district is home to top hospitals including Johns Hopkins University and Walter Reed Army Medical Center. North Carolina is one of the largest campuses of the National Institute of Environmental Health Sciences (NIEHS). The Research Triangle Park (RTP) in North Carolina, a 15 million square foot facility, is home to over 100 medical device companies, 327 research and testing and 59 medical labs. The RTP is home to the largest cluster of contract research organizations in the US. Quintiles Transnational Corporation and Laboratory Corporation of America Holdings are two of the largest in the US. Companies include Astra Zeneca (R&D HQ), Page 7 of 24 Healthcare ? USA BSN Medical, GlaxoSmithKline, BASF, Bayer, Biogen Idec, Cardinal Health, Novo Nordisk, MedImmune, Shire (US manufacturing), BD Diagnostics and Wyeth. Puerto Rico th Puerto Rico is the largest export market for the UK in all of the Caribbean, and the 4 largest in all of Latin America. Major industries in Puerto Rico include pharmaceutical and medical devices manufacturing, electronics and chemical processing. As local pharmaceutical drug makers add biotechnology operations, millions of dollars are being invested in infrastructure, machinery and equipment, and job training and education. Dominant sub-sectors include medical diagnostics, hospital equipment, medical device manufacturing, and pharmaceutical manufacturing machinery. Key companies with facilities on the island include Medtronic (cardiovascular devices), BD (biosciences), Baxter Healthcare (intravenous solutions), Johnson & Johnson (OTC preparations), B. Braun (medical devices), and Stryker PR (specialized medical instruments and endoscopy equipment). OPPORTUNITIES Key focus areas of the market as a whole include: ? Orthopaedics ? Cardiology ? Oncology ? Health IT ? Diagnostics ? Medical Imaging ? Home Healthcare products The next generations of treatments and devices are facing a market that is increasingly valuing clinical and cost efficiency. There are opportunities for innovative products from the UK. However, UK companies are cautious - as they should be ? of this intensely competitive and complex market place and need to arm themselves with as much information as possible about the regulatory environment, integrated delivery systems, distribution infrastructure, and reimbursement landscape before attempting to gain access to the US market, as mistakes will be costly. Changing Demographics - The ageing population of America, estimated at 17 million over 75, will drive orthopaedics and advanced wound care. Longer life expectancies and uptake of surgery at an earlier age calls for longer-lasting orthopaedic devices. The recent release of federal funds for research on human embryonic stem-cells has opened the door for considerable advances. Opportunity: Orthopaedic devices that improve patient comfort, surgical procedure times and patient demographics. Advanced wound care; stem-cell therapies; regenerative medicines; treatments for non-chronic, ?lifestyle? disorders and diseases (e.g. moderate depression, hair- loss, sexual dysfunction, skin ageing, smoking cessation, arthritis, stress). Drug Delivery - New drug delivery mechanisms, such as transdermal applications and sustained-release formulas, reduce patient interaction with physicians and nurses, and allow patients to increasingly manage their own treatments. Page 8 of 24 Healthcare ? USA Opportunity: Innovations that enable the self-administration of medication and improve compliance; devices which are combined with a drug component; site specific drug delivery. Information Technology ? Institutions are increasingly seeking to improve productivity and promote information flows via electronic data capture. Gathering more accurate and comprehensive data about patients, disease management, clinical trials and outcomes is the key to growth in this industry. Opportunity: Electronic health records (EHR); hand-held diagnostic and recording devices; billing, payment, spending analysis, and workforce management software for hospitals and clinics; software solutions that connect devices, payers, hospitals, pharmacies and distributors on a single IT system; Electromagnetic Interference (EMI) detectors/dampeners. Outpatient Services ? Increasingly, minimally invasive procedures are performed in outpatient settings, aiming to eliminate the need for hospital admission for various procedures, and reduce the number of days required for recovery. Opportunity: Instruments and equipment using lasers, lithotripsy (shock waves), and laparoscopic technology; image guidance; robotics. Potential procedures for innovation exist across every surgical area, including hip replacement, tonsil removal, cataract extraction, hernia repair, hysterectomy, rhinoplasty, ankle stabilisation and cystoscopy. Preventative Medicine & Diagnostics ? Management of chronic diseases accounts for 78% of all healthcare costs in the United States. A strong focus on early diagnosis, precise imaging, personalized medicine, vaccines, and drug therapy breakthroughs seeks to curb the long-term care costs and address growing public health concerns. Opportunity: Imaging technologies; point of care diagnostics, disease predisposition, treatments and devices for obesity-related illnesses, cardiovascular disease, cancer, stroke, and neurological disorders. Consumer Driven Healthcare - The healthcare industry is encouraging consumers to develop their own knowledge and skills in seeking care, and be more proactive in their health management so as to reduce strains on the healthcare system. Opportunity: Devices marketed directly to consumers; consumer-friendly medical information; monitoring devices. Home Healthcare - The pressure to reduce costs and increase consumer involvement in their healthcare treatments has also resulted in a rise in home healthcare solutions. Patients are favouring home visits by nursing agencies, and using self-operated devices and telemedicine so they may be monitored and managed in their home. Opportunity: Respiratory equipment (e.g. adult and paediatric ventilators and nebulisers); external and implanted infusion pumps; durable medical equipment (e.g. wheelchairs, scooters, other mobility aids, rehabilitation equipment, specialty beds and support surfaces); remote patient monitoring devices; self-monitoring devices, telemedicine innovations; home-nursing services. Page 9 of 24 Healthcare ? USA KEY METHODS OF DOING BUSINESS Distributors The industry is concentrated, with the top 50 companies accounting for 65% of revenues. Most hospital networks have long term, centrally negotiated contracts with GPOs that are linked to these primary distributors ? especially with regard to general hospital supplies. SMEs find it very difficult to break into this market. More than half of the $7 billion physician market for medical supplies is controlled by the just 4 distributors. Examples: Cardinal Health; Owens & Minor; Medline; PSS World Medical; Henry Schein Group Purchasing Organisations The industry is dominated by 7 large national GPOs, while hundreds of other local and regional ones operate at much smaller volumes. The Health Industry Group Purchasing Association (HIGPA) is made up of 16 healthcare purchasing and supply chain organisations that represent 75 percent of US acute care hospitals, most of the long-term care, home care and medical group practice markets. Examples: Novation; Premier; AmeriNet; Broadlane; MedAssets Supply Chain Systems; HealthTrust Purchasing Group Independent Speciality Distributors Provide ?specialty sales and marketing? service for customers; has a relationship with providers. Tend to focus on the more innovative, non-commodity technologies with a competitive edge. These companies tend to have a geographic remit but also may have affiliations with similar companies in other geographic areas that may provide a network of distributors for an SME. Manufacturers? Reps/Agents Have the advantage of an own sales/marketing force, does not take title to the goods and in most cases have no warehousing capacity. Overhead is low, but needs active promotion (commission basis). Reps work directly with manufacturer and can demand a salary + 3.5 percent commission. Direct to Hospitals/Clinics Usually applicable to high ticket/innovative items - reduces margins, but need support and local operations in the market place. OEM market/Manufacturers Joint Ventures/ Strategic Alliances - can work very well and in many cases is the right fit for SMEs to find a local manufacturer with a complimentary product line. Direct to Consumers Requires different marketing strategies that incorporate both the Internet and OTC retail markets. E-Commerce On-line catalogues provide wide exposure, but minimum of personal attention. This kind of distribution is especially relevant to volume purchases e.g. laboratory equipment; durable medical goods. Page 10 of 24 Healthcare ? USA MORE DETAILED SECTOR REPORTS Research is critical when considering new markets. UKTI provides market research services which can help UK companies doing business overseas including: ? Overseas Market Introduction Service (OMIS). Bespoke research into potential markets, contacts and support during your visits overseas. ? Export Marketing Research Scheme. Advice on market research and help to contact subsidised market research administered by the British Chambers of Commerce on behalf of UKTI. Contact your local International Trade Advisor if you are interested in accessing these services, or for general advice in developing your export strategy. UKTI SPONSORED INDUSTY EVENTS ADVAMED 2010: The Medtech Conference 18 ? 20 October, 2010 Washington, DC Organiser Advamed 2010 500 Montgomery St, Suite 210 Alexandria, VA 22314 Tel: (202) 434 7213 Fax: (800) 434 7213 Email: Website: AdvaMed is the premier MedTech Conference for more than 1,500 CEOs, business executives, policy-makers, financiers, media, and industry stakeholders from around the world. American Academy Of Orthopaedic Surgeons (AAOS) Annual Meeting New Orleans, LA 9 - 13 March, 2010 Organiser AAOS 6300 North River Road Rosemont, IL, 60018 Tel: (847) 823 7186 Fax (847) 823 8125 Email: Website: AAOS is the pre-eminent provider of musculoskeletal education to orthopaedic surgeons and their annual meeting is attended by more than 20,000 clinicians and device companies. American Association for Clinical Chemistry (AACC) Annual Meeting and Clinical Laboratory Exhibition Anaheim, CA 27 - 29 July, 2010 Page 11 of 24 Healthcare ? USA Organiser AACC 1850 K St. NW, Suite 625 Washington, DC 20006 Tel: (800) 892 1400 Fax: (202) 887 5093 Website: AACC (American Association for Clinical Chemistry) is an international scientific/medical society of clinical laboratory professionals, physicians, research scientists and other individuals involved with clinical chemistry and other clinical laboratory science-related disciplines. Their event draws professionals from all over the world to discuss advances in the profession as well as provides information on the latest trends, technologies and on the current, continuing changes in the health care environment. FIME International Medical Exposition August 11-13, 2010 Miami Beach, FL Organiser FIME International Medical Exposition, Inc 3348 Seventeeth St Sarasota, FL 34235 Tel: (941) 366 2554 Fax: (941) 366 9861 Website: FIME is known as the most comprehensive medical trade show in the Americas attracting almost 25,000 attendees. Its expansive showroom displays medical equipment, services, products and technologies targeted at medical distributors, hospital purchasing agents, and clinicians and physicians. Partners Connected Health Symposium 2010 Boston, MA 21 - 22, October 2010 Organiser Partners Center for Connected Health 25 New Chardon St, Suite 400D Boston, MA 02114 Tel: (617) 643 3905 Website: The Connected Health Symposium connects the intersecting community of health and information technology. The symposium features the latest ideas, research and innovations in remote-monitoring, online communications, and technology applications aimed at improving and delivering quality patient care outside of the traditional medical setting. th Radiological Society Of North America ? 96 Scientific Assembly And Annual Meeting (RSNA) Chicago, IL Nov 28 - Dec 3, 2010 Page 12 of 24 Healthcare ? USA Organiser Radiological Society of North America, Inc. 820 Jorie Boulevard Oak Brook, IL 60523 Tel: (630) 571 2670 Fax (630) 571 7837 Website: The RSNA annual meeting is the world's premier scientific and educational forum in radiology. It attracts over 700 exhibitors and features educational programs for radiologists, radiation oncologists, physicists in medicine, radiologic technologists and allied health care professionals. ATTENDANCE THROUGH UKTI UK Trade & Investment?s Tradeshow Access Programme (TAP) can help eligible UK businesses take part in overseas exhibitions. Attendance at TAP events offers significant benefits: ? possibilities for business opportunities both at the show and in the future ? a chance to assess new markets and develop useful contacts ? grants are available if you meet the criteria ? UKTI staff overseas will be available to assist delegates Find out if you are eligible to apply to attend events, and more about the support UKTI can offer, on the UKTI Market Entry web page. Details of TAP events can be found in the Events area on the US page of the web site. Other Market Visit Support may be available via your local International Trade Advisor. ADDITIONAL INDUSTRY EVENTS th American Association for Respiratory Care's (AARC?s) 56 International Respiratory Congress Las Vegas, NV 6 - 9 December, 2010 Organiser American Association for Respiratory Care 9425 N MacArthur Blvd, Suite 100 Irving, TX 75063 Tel: (972) 243 2272 Fax: (972) 484 2720 Email: Website: The American Association for Respiratory Care Annual Meeting and Exhibition offers general symposia, lectures, postgraduate courses and clinical tracks. Poster presentations feature topics such as asthma, neonatal and paediatric pulmonology, critical care medicine, management, artificial airways, education, sub acute care, safety, legal issues, evidence-based respiratory care, protocols, clinical practice guidelines, ventilators, student programs and COPD. 7,000 attendees, primarily cardiorespiratory specialists and personnel, are expected to attend. American Association For Thoracic Surgery (AATS) Annual Meeting 2010 Toronto, Canada Page 13 of 24 Healthcare ? USA 1 - 5 May, 2010 Organiser American Association for Thoracic Surgery 900 Cummings Center, Suite 221-U Beverly, MA 01915 Tel: (978) 927 8330 Fax: (978) 524 8890 Website: Founded in 1917 by the earliest pioneers in the field of thoracic surgery, the American Association for Thoracic Surgery (AATS) is now an international organization of over 1200 members consisting of the world?s foremost cardiothoracic surgeons representing 35 countries. Its annual meeting provides an outstanding comprehensive educational experience in the field of thoracic and cardiovascular surgery and brings together the world?s leading scientists in the specialty to discuss their latest clinical and research efforts. American College Of Medical Genetics (ACMG) Annual Clinical Genetics Meeting Albuquerque, NM 24 - 28 March, 2010 Organiser American College Of Medical Genetics 7220 Wisconsin Ave, Suite 300 Bethesda, MD 20814 Tel: (301) 718 9603 Fax: (301) 718 9604 Email: Website: The meeting presents research and clinical topics to promote the science and the practice of clinical genetics. Topics range from the investigation of the etiology and pathogenesis of disease to the delivery of genetic services and the ethical, legal and public policy issues that arise in the laboratory, the clinic, and the courtroom and in government. The meeting is directed to medical and human geneticists, genetic counsellors, laboratory geneticists, directors and workers, researchers and educators. Physicians, nurses, public health workers and students with an interest in genetic disease are also encouraged to attend. American College Of Physicians (ACP) Internal Medicine Meeting 2010 Toronto, Canada 22 ? 24 April, 2010 Organiser American College of Physicians 190 N Independence Mall West Philadelphia, PA 19106 Tel: (215) 351 2600 Fax: None given Website: ACP is a national organization of internists - physicians who specialize in the prevention, detection and treatment of illnesses in adults. ACP is the largest medical-specialty organization and second-largest physician group in the United States. Its membership of 129,000 includes internists, internal medicine subspecialists, and medical students, residents, and fellows. Page 14 of 24 Healthcare ? USA American Society of Anesthesiologists Annual Meeting 2010 San Diego, CA 16-20 October, 2010 Organiser American Society of Anesthesiologists 520 N. Northwest Highway Park Ridge, IL 60068-2573 Tel: (847) 825 5586 Fax: (847) 825 1692 Email: Website: The American Society of Anesthesiologists is an educational, research and scientific association of physicians organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient. Its Annual Meeting attracts over 15,000 attendees and 3,500 exhibitors. American Telemedicine Association (ATA) Annual Meeting 2010 San Antonio, TX 16 - 18 May, 2010 Organiser American Telemedicine Association 1100 Connecticut Ave, NW, Suite 540 Washington, DC 20036 Tel: (202) 223 3333 Fax: (202) 223 2787 Email: Website: The Annual Meeting of the American Telemedicine Association is recognised around the world as the primary forum for companies involved with telecommunications and technology solutions for healthcare. ATA 2010 will focus on outcomes and evidence for telemedicine and telehealth. The meeting will feature roughly 350 peer-reviewed presentations, covering the full spectrum of telemedicine- related subject areas and specialties, within eight concurrent tracks. Presentations will include oral concurrents, poster presentations, pre-meeting courses and general plenaries. American Urological Association Annual Meeting San Francisco, CA 29 May ? 3 June, 2010 Organiser American Urological Association Annual Meeting 1000 Corporate Blvd Linthicum, MD 21090 Tel: (410) 689 3700 Fax: (410) 689 3800 Email: Website: The American Urological Association (AUA) Annual Meeting is the largest meeting of urologic professionals in the world with more than 11,000 urologists and health-care professionals attending, half of whom are from other countries. More than 300 exhibiting companies with urological products or services will participate in the event. Page 15 of 24 Healthcare ? USA Annual Meeting of the American Academy of Allergy, Asthma and Immunology (AAAAI) New Orleans, LA 26 February ? 2 March, 2010 Organiser American Academy of Allergy, Asthma and Immunology 555 East Wells St, Suite 1100 Milwaukee, WI 53202 Tel: (414) 272 6071 Fax: (414) 272 6070 Email: Website: The AAAAI Annual Meeting provides comprehensive educational programming in the allergy/immunology specialty and is an opportunity to broaden the understanding of the latest innovations in the diagnosis and treatment of allergic disease. Sessions are defined for clinicians, researchers, allied health professionals and students to provide cutting-edge information presented by leaders and investigators in the specialty from all over the world. The meeting offers exhibiting companies an opportunity to present products and services to private physicians, researchers, academicians and allied health professionals in the field of allergy and immunology. AAAAI attendance has grown to over 8000 attendees. Association of Operating Room Nurses (AORN) Annual Congress 2010 Denver, CO 13 - 18 March, 2010 Organiser Association of Operating Room Nurses 2170 South Parker Road, Suite 400 Denver, CO 80231 Tel: (800) 755 2676 Fax: (303) 750 3212 Email: Website: AORN is the premier trade show and educational event for nurses in and around the operating room. Known as the country's largest surgical trade show, nearly 600 exhibitors representing medical and surgical supplies, on line buying systems, computer software, pharmaceuticals and capital equipment exhibit at the show. Over 7,000 perioperative professionals from nursing, materials management, central supply, purchasing, and infection control are expected to attend AORN's Annual Congress. The congress includes an ambulatory pre-conference program and various other sessions to choose from. 8th Annual Meeting Of The Society Of Dermatology SkinCare Specialists (SDSS) Miami Beach, FL 8 - 11 March, 2010 Organiser Society of Dermatology SkinCare Specialists 484 Spring Ave Ridgewood, NJ 07450 Tel: (201) 670 4100 Fax: (201) 670 4265 Page 16 of 24 Healthcare ? USA Email: Website: The SDSS is a voluntary, organization which aims to develop and foster the highest standards of skin care in the dermatology setting. The SDSS Annual Meeting is open to non-members and has an exhibitor area. The programme features topics such as injectable fillers, laser therapy, chemical peel vs. exfoliation and retailing in the dermatology practice. Healthcare Information and Management Systems Society (HIMSS) Conference and Exhibition Atlanta, GA 1 - 4 March, 2010 Organiser Healthcare Information and Management Systems Society 230 East Ohio Street, Suite 500 Chicago, IL 60611 Tel: (312) 664 4467 Fax: (312) 664 6143 Email: Website: The Annual HIMSS Conference and Exhibition is a flagship event for the healthcare IT industry. 29,000 chief executives, clinicians, physicians, nurses, academics and other attendees are expected. It allows hospitals and physician practices to explore and interact with electronic medical record applications and other IT solutions and equips them with the knowledge to use these products in meaningful ways. The exhibition portion of the event will showcase 600 exhibitors and include a new product showcase, product pavilion sessions and exhibit area. HIDA 2010 Medsurg Conference and Expo Navy Pier, Chicago IL 13-15 October, 2010 Organiser Health Industry Distributors Association (HIDA) 310 Montgomery St Alexandria, VA 22314 Tel: (703) 549 4432 Fax: (703) 549 6495 Email: Website: HIDA is the premier trade association representing medical products distributors. The annual MedSurg Conference and Expo is the most comprehensive product expo in the healthcare industry, offering exhibitors a marketing platform by attracting the distribution industry to one place, at one time. Over 3,500 industry executives and salespeople are expected to attend. International Stroke Conference 2010 San Antonio, TX 24 - 26 February, 2010 Organiser American Heart Association National Center Dallas, TX Tel: (214) 570 5935 Page 17 of 24 Healthcare ? USA Fax: (214) 706 5262 Email: Website: The program for the International Stroke Conference emphasises basic and translational sciences as they evolve towards a more complete understanding of stroke pathophysiology as a foundation for developing more effective prevention and treatments. The conference provides opportunities to meet with colleagues from around the world with wide-ranging research interests and expertise in stroke prevention, diagnosis, treatment and rehabilitation. Over 2,500 attendees are anticipated to attend as well as nearly 50 exhibitors displaying new stroke products and services. There are over 900 presentations, lectures, and debates on recent advances and state-of-the-art technologies. International Vision Expo West 2010 Sands Expo and Convention Center, Las Vegas 6 - 9 October, 2010 Organiser Reed Exhibition Companies 383 Main Avenue Norwalk, CT 06851 Tel: (800) 811 7151 International Vision Expo West draws in eye care practitioners and staff from all size practices, as well as retailers, lab professionals and others from across the United States and around the world. The exhibition showcases over 500 exhibitors with the most innovative products and technologies the industry has to offer. Approximately 12,000 buyers make this event their first stop for education, technology, innovation, new products and the best networking in the business. LifeScience Alley 2010 Location TBD Date TBD Organiser The Event Group 8421 Wayzata Blvd, Suite 250 Minneapolis, MN 55426 Tel: (763) 548 1300 Fax: (763) 593 9220 The annual LifeScience Alley conference and expo is one of the industry?s central resource for fostering innovation, providing ongoing education and enabling collaborations. It brings together the medical device, health care, pharmaceutical, biopharma, renewable materials, and food and nutrition sectors showcasing widely respected speakers and world renowned companies and research institutions. Medtrade Spring 2010 Sands Expo & Convention Center, Las Vegas, NV, USA 11-13 May, 2010 Organiser Neilson Business Media Page 18 of 24 Healthcare ? USA Email: Medtrade is the largest home medical equipment event in the western US. Its thousands of attendees include distributors, hospitals, pharmacies, rehabilitation facilities, managed care organisations, home-health care agencies and retailers. MD&M West 2010 Anaheim Convention Center, Anaheim, CA 8 ? 11 February, 2010 Organiser Canon Communications LLC 11444 W Olympic Blvd Los Angeles, CA 90064 Tel: (310) 445 4200 Fax: (310) 996 9499 MD&M West is the world?s largest trade show for medical manufacturing, featuring 1500 exhibiting companies. Over the three-day, full-facility show, the world?s leading suppliers to the $91.3 billion medical device market will connect with 16,000 medical OEM decision makers from the nation?s most successful industry sector. Pittsburgh Conference and Expo on Analytical Chemistry and Applied Spectroscopy (PITTCON) Orange County Convention Center, Orlando, Florida Feb 28 - 5 March, 2010 Organiser Pittsburgh Conference and Expo on Analytical Chemistry and Applied Spectroscopy 300 Penn Centre Boulevard, Suite 332 Pittsburgh, PA 15235 Tel: (412) 825 3220 Fax (412) 825 3224 Website: Pittcon is the world's premier conference and expo devoted to laboratory science. Pittcon attracts nearly 20,000 attendees from industry, academia and government from 90 countries worldwide. Its conference programme includes technical sessions on the latest research problems and methodologies, educational opportunities, and over 1,000 exhibiting companies. Plastic Surgery 2010 Toronto, Canada 1 - 5 October, 2010 Organiser American Society of Plastic Surgeons Plastic Surgery Educational Foundation 444 E. Algonquin Road Arlington Heights, IL 60005 Tel: (847) 228 9900 Email: Website: Page 19 of 24 Healthcare ? USA Plastic Surgery 2010 represents the full spectrum of medical professionals and decision makers including physicians, nurses, physician assistants and technicians. It is the most comprehensive plastic surgery meeting in the world. Participation offers unequalled opportunities to align your specialized products and services with the vision and objectives of the most elite practitioners of the art and science of plastic surgery. Society of Critical Care Medicine (SCCM) 40th Annual Congress January 15-19 2011 San Diego, CA Organiser SCCM 500 Midway Drive Mount Prospect, IL 60056 Tel: (847) 827 6869 Fax: (847) 827 6886 Email: Website: The Society of Critical Care Medicine is the largest multiprofessional organisation dedicated to ensuring excellence and consistency in the practice of critical care. Its Annual Congress draws more than 5,000 nurses, pharmacists, physicians and respiratory therapists to discover the latest solutions and developments in scientific and clinical advances, cutting-edge clinical treatments, fundamental business methods, and ICU administration and management. The exhibition area features the latest technology, products and services available to critical care practitioners. CONTACTS National Trade Associations American Association For Homecare (AAH) 625 Slater Lane, Suite 200 Alexandria, VA 22314 Tel: (703) 836 6263 Fax: (703) 836 6730 Email: Website: The American Association for Homecare (AAHomecare) is the voice that represents all the elements of homecare under one roof - from home medical equipment and respiratory therapy to home health services and from rehab technology to infusion therapy. American Association Of Retired People (AARP) 601 E St. NW Washington, DC 20049 Tel: (202) 434 3525 Fax: (202) 434 6483 Email: Website: AARP is a non-profit association for the retired community. Founded in 1958 by retired educator Dr. Ethel Percy Andrus, it is the nation's largest organisation of its type. Page 20 of 24 Healthcare ? USA American Congress Of Rehabilitation Medicine (ACRM) 6801 Lake Plaza Drive, Suite B-205 Indianapolis, IN 46220 Tel: (317) 915 2250 Fax: (317) 915 2245 Website: The American Congress of Rehabilitation Medicine serves people with disabling conditions by promoting rehabilitation research and facilitating information dissemination and the transfer of technology. The Website provides a comprehensive links to other useful Websites American Occupational Therapy Association (AOTA) 4720 Montgomery Lane Bethesda MD 20824 Tel: (301) 652 2682 Fax: (301) 652 7711 Email: Website: Nationally recognised professional association headquartered in Bethesda, MD. American Health Care Association 1201 L Street NW Washington DC 20005 Tel: (202) 842 4444 Fax: (202) 842 3860 Email: None Website: Federation of 50 state health organisations, representing nearly 12,000 assisted living, nursing facilities, long term care, and acute care providers. Assisted Living Federation Of America (ALFA) 11200 Waples Mill Road, Suite 150 Fairfax, VA 22030 Tel: (703) 691 8100 Fax: (703) 691 8106 Website: ALFA was founded in 1990 and currently represents over 7000 providers, including retirement communities and assisted living homes. Examples of Regional Trade Associations Bay Bio 400 Oyster Point Blvd, Suite 221 South San Francisco, CA 94080 Tel: (650) 871 7101 Fax: (650) 871 7555 Email: Website: Bay Bio is Northern California's life science association supporting the regional bioscience community through advocacy, enterprise support, and the enhancement of research Page 21 of 24 Healthcare ? USA collaboration. Its members include organizations engaged in, or supportive of, research, development and commercialisation of life science technologies Florida Medical Manufacturers' Consortium (FMMC) 2699 1st Avenue North St. Petersburg, FL 33713 Tel: (727) 235 6313 Fax: (727) 565 1986 Email: Website: FMMC exists to further the interests of the medical manufacturers in the State of Florida by providing opportunities for industry members to assist each other, interface with academic institutions, and promote the mutual interests of the industry and the community to the general public and governmental organizations. LifeScience Alley 1550 Utica Avenue South, Suite 725 St. Louis Park, MN 55416 Tel: (952) 542 3077 Fax: (952) 542 3088 Email: Website: LifeScience Alley connects the vibrant life science industry in Minnesota and the surrounding Midwest region. It provides its over 600 members access to industry leaders, education and networking opportunities, and insights into current trends, regulations, research and emerging technologies. Massachusetts Medical Device Industry Council (MassMEDIC) 715 Albany Street, TW1 Boston, MA 02118 Tel: (617) 414 1340 Fax: (617) 414 1344 Email: Website: MassMEDIC promotes the unique interests of the Bay State's vibrant medical technology sector. MassMEDIC has over 300 members - manufacturers, product developers, suppliers, research institutions and academic health centers. It advocates industry positions at the federal and state government levels, and conducts numerous informational seminars, conferences and issue briefings aimed at bringing the region's medical device community the latest and best information on policies and trends impacting the sector. Page 22 of 24 Healthcare ? USA PUBLICATIONS Medical Device and Diagnostic Industry (A Canon Communications LLC Publication) 11444 West Olympic Blvd. Suite 900 Los Angeles, CA 90064 Tel: (310) 445 4200 Fax: (310) 445 4299 Website: Medical Device and Diagnostic Industry is edited for management and technical personnel engaged in the manufacture of medical devices and in vitro diagnostic products. Published monthly. Healthcare Industry Today (A PebbleCreek Publishing Co., Publication) PO Box 6099 Buffalo Grove, IL 60089 Tel: (847) 821 1163 Fax: (847) 634 1026 Website: None Health Industry Buyer?s Guide is published for purchasing managers, materials managers, purchasing agents, presidents, owners, distributors, dealer firms, hospitals, nursing homes, managed care companies, home care, pharmacies, drug stores, clinics, alternate sites and individuals engaged in the wholesale and retail distribution or purchase of medical equipment and healthcare products. Published annually. Healthcare Distributor (An E.L.F. Publications, Inc Publication) 5285 West Louisiana Avenue, Suite 112 Lakewood, CO 80232 Tel: (303) 975 0075 Fax: (303) 975 0132 Website: Health Care Distributor informs distributors about new health-care products, such as prescription and over-the-counter pharmaceuticals; vitamin and nutritional supplements; health and beauty care products; and home care and services that help them successfully operate their businesses. Buyers Guide To The Healthcare Market (A Healthcare Forum Publication) Health Forum, Inc. th One North Franklin, 27 Floor Chicago, IL 60606 Tel: (312) 893 6827 Fax: (312) 422 4500 Website: The Buyer?s Guide contains company listings of healthcare providers plus resource, supply and service categories. Available in two formats: print and online. Published annually. Page 23 of 24 Healthcare ? USA American Medical News 515 N. State Street Chicago, IL 60610 Tel: (312) 464 4429 Fax: (312) 464 4445 Email: via website Website: AMNews is directed to physicians in private practice and physicians on hospital and managed care staffs, in military service and on medical faculties. Circulation reaches over 230,000 professionals of which 90 percent are physicians, primarily office-based doctors in five primary- care specialties. AMNews focuses on many issues ranging from political and regulatory coverage to information on the medical profession, public health, and the medical marketplace and practice management. Modern Healthcare 360 N. Michigan Avenue Chicago, IL 60601 Tel: (312) 649 5499 Fax: (312) 397 5510 Website: Modern Healthcare reaches more than 71,000 healthcare professionals with reliable, up-to-date and comprehensive healthcare news. These individuals are the financial and purchasing decision-makers within hospitals, multi-hospital systems, integrated delivery networks, managed care and group purchasing organisations. Hme News (United Publication, Inc.) PO Box 998 106 Lafayette Street Yarmouth, ME 04096 Tel: (207) 846 0600 Fax: (207) 846 0657 Email: A monthly business newspaper for home medical equipment providers, dealers, hospitals, distributors and manufacturers. The magazine focuses on industry news, mergers and acquisitions, governmental and regulatory impact on the HME industry, as well as products reviews and industry trend coverage. Page 24 of 24
Posted: 04 October 2010

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