Blog Archives

New Insight Report on Moving to Open Platforms Now Available

All of the factors driving the adoption of platform thinking in the wider economy across other industries — escalating demand for better user functionality, customers seeking an outcome rather than a transaction, rapidly changing payment models — are present in healthcare. Yet HCOs and their HIT vendors cling tenaciously to closed, transaction-based systems and methods of doing business.


HIPAA Must Die

Do we really need HIPAA and fifty different state versions of HIPAA to make patient data private and secure? And HIPAA has a lot of company. Each state also has different rules for telemedicine, for credentialing, for nurse staffing levels, for



HIMSS15 was supposed to be an opportunity for HIT vendors to really expand on interoperability with possibilities represented by FHIR and other newish standards. At least that’s what I thought. Interoperability is an overarching concern across HIT and many are expecting


HIMSS Will not Have Dragons or Acrobats This Year: Clinician Network Management Watchlist

During the Middle Ages, London’s Bartholomew Fair grew from what we would call a trade show for cloth merchants into a full-blown annual exposition where merchants could conduct business in the presence of “sideshows, prize-fighters, musicians, wire-walkers, acrobats, puppets, freaks


Didn’t Like MU? Brace Yourself for the Interoperability Version

Join us today at 3PM ET for a tweetchat about MU3 and what the proposed regulations portend. Just follow the #MU3 hashtag on Twitter to join the conversation. For all of the dissatisfaction about the prescriptive nature of the EHR


ONC Catalyzing a National Interoperability Plan

ONC’s first draft of a nationwide interoperability roadmap is ambitiously vast in scope, but ultimately constrained by the past. Its purpose is to initiate a discussion within healthcare about the ways and means to achieve interoperability in 10 years notwithstanding that


Orion Health Aspires to PaaS

The interoperability problems that plague healthcare are compounded by the paucity of developer options for modern software development. Software as a Service (SaaS) models are increasingly commonplace for EHRs, population health and other finished applications. Platform as a Service (PaaS)


2014 Year in Review: Clinician Network Management

Being seasoned veterans of the HIE/CNM market, 2014 was not so much a year of surprises, but one in which HCOs finally coming to grips with reality. There was a tremendous level of exploration of the technical, organizational and incentives-based


2014/15 CNM Market Trends Report Hits the Streets

Pushing the industry forward, today we release our newest report, 2014-15 Clinician Network Management Market Trends Report. The report picks up where our previous report on Clinician Network Management (CNM) left off, providing a framework for healthcare organizations to define their


JASON Task Force – Part Deux

In a post two weeks ago, we were critical of some aspects of the JASON Task Force’s (JTF) Final Report on healthcare interoperability. Two members of the JTF reached out to us in order to clarify the intent of the


JASON Task Force Says Status Quo is Better than Supersession

The JASON Report created quite a fuss in the HIT marketplace as some screamed foul and others were encouraged that maybe, just maybe the JASON report may force movement to more open systems. To clear the air, the JASON Task Force (JTF)


Supreme Court Waves Off Software Industry: Bad for HIT

Healthcare depends on new and innovative ideas — often constructed with software. EHRs, HIEs, CPOE, clinical content, medical devices, and numerous medical products are completely or mostly built with software. National governments have helped stimulate innovation over the centuries through


Expanding the Clinical Network for Value-based Care

The provider world is dominated by organizations that believe in a slowly evolving status quo that will somehow carry them across the threshold of accountable care to a fully formed world in which VBR-compliant ways of delivering healthcare solve their


Claims Data is NOT a Trojan Horse

Probably the most notable development apparent at HIMSS14 was how much HIE and interoperability vendors are now talking about including claims data in their solution sets. Last year at this time, most of these vendors questioned the clinical value and


Time to Move Beyond HIE

Our ongoing coverage of the HIE industry leads us to the question of what clinicians do after getting connected to an HIE? To this end, we are conducting a 10-minute web survey on clinician’s experiences using HIEs for care coordination.

Can Mirth Revive NextGen?

Last week, NextGen’s parent company, QSI, acquired open-source tools vendor Mirth for $59M. While a relatively small acquisition, it nonetheless will have an impact on the broader HIE market. Mirth’s toolset has an array of HIE components, notably its well-regarded Mirth

Pushing the Envelope to HIE 2.0

Innovation driven by the effective use of IT has long catalyzed industry transformations – except in healthcare. We all know people who have never waited in a teller line to cash a check. In the now unlikely event that systems

Limits and Lags in Healthcare Productivity

In a recent Health Affairs blog, Alex Goldsmith does a back-of-the-envelope analysis of the peculiar economics of healthcare. According to the Bureau of Labor Statistics, employment in healthcare increased by 1.149 million people from 2007-2011. He contrasts this increase in

Who We Are

Chilmark Research is the only industry analyst firm focusing solely on health IT. We combine proven research methodologies with intelligence and insight to provide cogent analyses of the emerging technologies that have the greatest potential to improve healthcare. We do not shy away from making tough calls, and are respected in the industry for our direct and thoughtful commentary.