Blog Archives

Likely Suitors as Thomson Reuters Exits Healthcare

Earlier this week, Thomson Reuters (TR) announced that it intends to sell off its healthcare unit. A logical first response is: What they heck, why would they sell right now when the healthcare market is so hot and shows no signs

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Posted in ACO, Acquisition, Analytics, Cloud Computing, Electronic Health Records, Health Information Exchange, SaaS

Rational Thought Infects HITECH

Couple of weeks back the HIT Policy Committee began to seriously consider what a delay of Stage Two meaningful use (MU) might look like. This push for a delay is being driven in large part by EHR vendors. The problem

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Posted in ACO, Electronic Health Records, policy Tagged with: ,

Windy City, Turbulent Times

Special Note: When this post first went up an image of a tornado was used as a metaphor for the very turbulent times that the healthcare sector is currently experiencing. Little did we know that this week would see the

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Posted in ACO, consumer health, Electronic Health Records, Health Information Exchange, policy, RHIO

Fostering Innovation in Healthcare IT

As in most sectors, innovation in healthcare IT (HIT) is by and large incremental. A tweak here and added feature there to some existing application, e.g., what we are seeing today from EHR vendors as they strive to meet meaningful

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Posted in ACO, consumer health, Electronic Health Records, mHealth, policy Tagged with:

Robust Processes Supported by Health IT Core to ACO Success

On March 31st, the HHS’s Center for Medicare and Medicaid Services (CMS) dropped its neutron bomb (proposed Accountable Care Organization (ACO) rules, caution PDF) on the healthcare industry. Much like the neutron bomb, the proposed rules will leave buildings standing,

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Posted in ACO, Analytics, CMS, Connected Health, consumer health, Electronic Health Records, Health Information Exchange, mHealth, PCMH, policy, standards, telemedicine Tagged with: ,

Remember: Technology is but a Tool

Yesterday, Chilmark Research participated in the CRG conference, Driving Change Through Managed Care IT from Provider Payments to Quality, which was held in New York City. Despite having a title that no one will be able to remember, the overall

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Posted in Electronic Health Records, policy, Security, standards Tagged with: , ,

Learning from Mistakes: The Minnesota Story

Chilmark rarely references other reports and articles as the foundation for a post on this site. Once in a great while we come across a story that is just too good to pass over.  Reporter Michael Krigsman, who writes the

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Posted in CMS, Electronic Health Records, Health Information Exchange, policy

Much Ado About Patient Portals

From Chilmark Research’s perspective, patient portals are by and large Much Ado About Nothing. Sure, plenty of healthcare organizations (HCO) talk about patient access, engagement, and satisfaction and how they wish to empower their patients. They point to their glossy

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Posted in ACO, Consumer Engagement, consumer health, Electronic Health Records, Google Health, health portals, HealthVault, policy Tagged with: , , , , ,

3 Questions: A Conversation with Dr. Blumenthal

This week, the well regarded periodical, Health Affairs published its annual issue that focuses on Healthcare IT (HIT). One of the papers published was authored by ONC, with ONC head, Dr. David Blumenthal listed as a co-author. The paper, The

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Posted in Electronic Health Records, policy Tagged with: , , , ,

HIMSS11 Shrinking the World Down One Size

  Like Dilbert, I left HIMSS11 with a sense of scale that was somewhat skewed. The first time I crossed the pedestrian bridge overlooking the vendor showroom, I was immediately struck by the vastness of it all.  The showroom itself

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Posted in ACO, Electronic Health Records, mHealth, SaaS

A Tale of Two Medical Records

This is a tale of my nearly year-long attempt to integrate my family’s medical records from a small outpatient provider (MIT Medical) into my Kaiser Permanente HealthConnect EMR. From 2008-2010 my family was living Boston where I was getting my

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Posted in CCD, Consumer Engagement, Electronic Health Records, Health Information Exchange, standards

HIMSS’11: Setting Expectations

Over a 1,000 exhibitors, some 30,000+ attendees and I come away from HIMSS, again, thinking is this all there is? Where is the innovation that the Obama administration i.e., Sec. Sebellius and Dr. Blumenthal both touted in their less than

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Posted in ACO, Analytics, Electronic Health Records, Health Information Exchange, HealthVault, mHealth Tagged with: , ,

HIMSS or Bust

Two extremely short weeks from today will be the official start of that annual healthcare IT (HIT) confab called HIMSS. Tens of thousands will gather to hear the latest and greatest on how HIT will deliver unfathomable rewards to all

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Posted in Electronic Health Records, Health Information Exchange, mHealth, RHIO Tagged with: , , ,

2011 Predictions: MU Goes Tactical, ACO Strategic

In the Healthcare IT (HIT) market, 2010 was the year of meaningful use (MU). Healthcare organizations (HCOs) of all sizes developed plans, began making IT modifications and began adopting the technology they needed to meet Stage One MU requirements and

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Posted in ACO, Analytics, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth, PCMH

HIE Report is Released

The long awaited, dare I say anticipated HIE Market Report is now complete and ready for purchase. This report, arguably the most comprehensive report yet published on this rapidly evolving market (116pgs, 21 vendors profiled, 0ver 25 tables and figures)

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Posted in Analytics, Electronic Health Records, Health Cloud, Health Information Exchange, health portals, SaaS Tagged with: , , , , , , , , , ,

NaviNet Acquires Prematics: a Testament to the Ubiquity of Smartphones in the Exam Room

Last week, NaviNet announced its acquisition of Prematics, a company founded a few short years ago targeting the market for mHealth provider solutions. While there are significant synergies and overlap between the two companies’ product offerings, NaviNet’s main driver with

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Posted in consumer health, Electronic Health Records, mHealth Tagged with: , ,

mHealth in the Enterprise Set to Explode

The rapid adoption of smartphones and now touch-screen tablets (e.g., iPad) by clinicians will trigger enormous growth in the use of mHealth Apps within healthcare enterprises, with the market for mHealth in the enterprise projected to reach $1.7B by end

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Posted in Electronic Health Records, mHealth Tagged with: , , , , , , , , , , , ,

Letting the Data Flow; Part One

Making clinical data liquid permeated a series of events I attended last week during Health Innovation Week in San Francisco.  Monday and Tuesday found me at the HIE/REC conference. Wednesday was HealthCamp at Kaiser-Permanente’s Garfield Research Center (KP was extremely

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Posted in CMS, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, policy Tagged with: , , , , ,

Don’t Rule-out the Mobile Browser

I recently had the opportunity to speak with Henry J. Feldman, M.D., instructor of medicine at Harvard Medical School at the Beth Israel Deaconess Medical Center (BIDMC).  Dr. Feldman also serves as Chief Information Architect in addition to practicing as

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Posted in Electronic Health Records, Privacy, SaaS, Security, standards Tagged with:

Is REC a Future Train Wreck

Yesterday, HHS’s ONC announced the final two Regional Extension Centers (RECs), one in California and the other for the state of New Hampshire. Much like the Land Grant College Program and the much smaller Sea Grant Program, the HHS RECs

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Posted in Electronic Health Records, policy Tagged with: , ,

Business Drivers for Mobility in the Enterprise

John mentioned in an earlier post, “Is the mHealth hype justified?” how the word ‘mHealth’ has acquired a broad, unwieldy set of definitions.  The mHealth term is now practically useless (except as a buzzword).  In my research to date, I

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Posted in Electronic Health Records, mHealth

Feds Set Example for Data Portability

The Personal Health Record (PHR) market is fraught with challenges. First there is the issue of getting personal health information (PHI), which is most often not in a common digital, computable format such as a CCD or CCR-based file. Even

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Posted in CCD, CMS, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange Tagged with: , ,

Assessment: Ingenix Makes HIE Move Acquiring Axolotl

Last week, Ingenix announced that it would be acquiring Axolotl.  Probably no one was happier than the folks at Gilat Satellite Networks who had invested $4.5M in Axolotl over ten years ago, had written off that investment during the dot-com

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Posted in Analytics, Electronic Health Records, Health Information Exchange Tagged with: , , , , , , , ,

Microsoft Pulls Plug on Amalga HIS

Today, Microsoft officially announced that it is shutting down operations and sales for Amalga HIS.  Amalga HIS was the former Global 2000 EMR that Microsoft acquired roughly two years ago. Global 2000′s claim to fame was being the EMR for

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Posted in Electronic Health Records

Telecom’s Tepid Plays in HIE Market

The telecom industry makes its money delivering bits and bytes. Therefore, it is not too surprising that the two major players here in the US, AT&T and Verizon are placing some bets in the healthcare sector.  Primary among those bets

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Posted in Electronic Health Records, Health Information Exchange, RHIO Tagged with: , ,

Meaningful Use Perspectives & Resources

Everyone seems to have an opinion, or at least has written something, about the final Meaningful Use (MU) Rules that were released on July 13th.  Of the multitude of posts and articles out there on the net, there the top

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Posted in consumer health, Electronic Health Records, Health Information Exchange, policy, Privacy, Security, standards Tagged with: , , ,

Meaningful Use Rules Drop Today

Nearly a year after the HIT Policy Committee’s meaningful use recommendations were approved by ONC chief Dr. David Blumenthal, an extensive comment period that solicited some 2,200 comments, the final Stage One meaningful use rules will be released today at

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Posted in CMS, consumer health, Electronic Health Records, policy, standards Tagged with: , , ,

Ramping Up for MU Rules, CMS Launches New Site

Today, the Center for Medicare and Medicaid Services (CMS) launched a new site that is basically an everything you wanted to know about meaningful use, ARRA, the HITECH Act, certified EHRs, etc., but were afraid to ask.  This is a

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Posted in Electronic Health Records, policy Tagged with: , , , ,

Another Survey, Another Doh!

Harris Interactive and HealthDay announced the results of their latest consumer survey on consumer attitudes towards electronic medical records. This is but just one more survey that seems to state the same thing over and over again, that there is

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Posted in Consumer Engagement, consumer health, Electronic Health Records

Healthcare Reform, Payment Models & Acquisitions

Today, GE announced the release of Centricity Advance, their solution for the ambulatory market. Centricity Advance is basically a build-out/rebranding of MedPlexus an SaaS EHR solution vendor that GE acquired in March 2010.  GE now joins others (see below) in

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Posted in Electronic Health Records Tagged with: , , , , , , , , ,

AllScripts+Eclipsys, Who Loses?

Today, leading ambulatory EHR vendor AllScripts announced that it will merge (it’s really acquire) with one of the larger acute care EHR vendors, Eclipsys creating one of the largest EHR vendors in the market with some 180,000 physicians using their

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Posted in Analytics, Electronic Health Records, Health Information Exchange Tagged with: , , , , , , ,

Subdued in Seattle

What was at one time an event focusing on visionary statements and a desire to attract the developer community has transitioned too much more of a true user conference and with this transition, Microsoft’s 3rd annual healthcare event, Connected Health

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Posted in consumer health, Electronic Health Records, Health Information Exchange, HealthVault Tagged with: , ,

Where’s the Beef?

Awhile back, Chilmark received a briefing from Medicity about their forthcoming iNexx platform.  We liked what we saw. iNexx fit our model of where the HIE and more broadly, the HIT market is headed, particularly for the far-flung small ambulatory

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Posted in Electronic Health Records, Health Cloud, Health Information Exchange Tagged with: , ,

Shedding a Light on HIT – Beacon Awards

Last week, the White House finally announced the 15 Beacon Award recipients who will split the $220M (roughly $15M each) to effectively leverage HIT to improve healthcare delivery in their communities. While many a community waited patiently for this announcement

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Posted in Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth, policy, telemedicine Tagged with: , ,

Even with Incentives, Docs May Forgo EHR Adoption

The federal government, via the HITECH Act, and many an EHR vendor are hoping for broad adoption of EHRs in the goal to digitize the healthcare sector, which today is honestly, pretty abysmal.  And why is EHR adoption so low?

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Posted in consumer health, Electronic Health Records Tagged with: , ,

New Leadership for CCHIT – Will it Make a Difference?

The organization that Chilmark Research has had, at times, a trying relationship with, CCHIT, otherwise known as the Certification Commission for Health Information Technology has appointed a dear friend, Dr. Karen Bell as its new leader. Dr. Bell, who I

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Posted in Consumer Engagement, Electronic Health Records, Health Information Exchange, policy, standards Tagged with: , , , , ,

iPad in Healthcare: A Game Changer?

There have been a lot of discussions on the Net regarding the potential impact of the iPad in the healthcare sector.  At this point, there is very little agreement with some pointing to the ubiquitous nature of the iPhone in

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Posted in consumer health, Electronic Health Records, mHealth, policy Tagged with: , , , , , , ,

Managed Care, HIT & ARRA

Yesterday, had the privilege to attend and present to a packed audience in New York City for CRG’s conference: IT & the Future of Managed Care: The Next Wave. Unlike most conferences I attend that are predominately focused on either

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Posted in CMS, Connected Health, Consumer Engagement, consumer health, Dossia, Electronic Health Records, Google Health, Health Information Exchange, HealthVault Tagged with: , ,

Relax Meaningful Use… but Not Too Much

Reading through the headlines, the press releases and checking in on today’s HIT Policy Committee meeting, it appears that the over-riding theme of comments regarding Meaningful Use (MU) rules (these were due by COB on 3/15) is to relax the

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Posted in CCD, consumer health, Electronic Health Records, Google Health, HealthVault, policy Tagged with: ,

Its Not About Meaningful Use

With the impending comment deadline for Meaningful Use (MU) fast approaching, many organizations, from CHIME to AHA to AAFP and others are asking for some form of relaxation of MU criteria in the final version.  Now it is not to

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Posted in Electronic Health Records Tagged with: , ,

Another Year, Another HIMSS

Coming back from HIMSS and really scratching my head trying to think of what incredible new and novel thing(s) did I see, hear about or experience at the conference.  Nothing stood out.  Here it is just my third HIMSS and

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Posted in Consumer Engagement, Electronic Health Records, Health Information Exchange, HealthVault Tagged with: ,

Atlanta Bound – HIMSS’10

Three years ago while still very wet behind the ears on all things healthcare IT (HIT), I attended my first HIMSS conference.  Having been to many conferences/trade shows before, some far larger than HIMSS, I was not intimated by the

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Posted in Electronic Health Records, Health Information Exchange Tagged with: ,

The Migration to Modular HIT Apps

Been a lot of talk over the last year or so regarding the move to smaller, more modular, substitutable apps (think iPhone) to address healthcare IT sector needs, particularly for providers. This discussion has progressed to the point where HHS,

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Posted in Electronic Health Records, Health Information Exchange, HealthVault Tagged with: , , , ,

Top 5 Do’s & Don’ts for Speaking with Analysts at HIMSS

The big health IT industry confab HIMSS kicks off one week from today.  With some 28 briefings scheduled over 2.5 days, the Chilmark Research team will be extremely busy to say the least.  It is with that in mind that

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Posted in Consumer Engagement, Electronic Health Records, Health Information Exchange, mHealth Tagged with: , ,

Relaxing Meaningful Use? Not Really

There has been a lot of talk this week in the trade pubs about the HIT Policy Committee (HITPC) meeting on Wednesday wherein the committee recommended a relaxation of meaningful use (MU) requirements.  But if one looks closer, the “story”

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Posted in CMS, Electronic Health Records, policy, Security, standards Tagged with: , ,

Acquisitions Creating White Hot Market for Healthcare IT

Since the beginning of 2010 there has been a series of acquisitions in healthcare IT (HIT) market, which recently culminated in one of the largest, IBM’s acquisition of Initiate.  Triggering this activity is the massive amount of federal spending on

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Posted in Electronic Health Records Tagged with: , , , ,

HIT Market White Hot

Doing some quick analysis of the healthcare IT market and have uncovered some 17 HIT software acquisitions since beginning of year. Is this but a lead up to the big industry confab, HIMSS that begins in a few short weeks?

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Posted in Electronic Health Records Tagged with: , , , ,

IBM Strengthens Healthcare Play, Picks up Initiate

This morning, IBM announced that it will acquire leading healthcare Master Data Management (MDM) vendor, Initiate for an undisclosed sum.  The healthcare IT (HIT) sector is white hot right now so it is likely IBM paid a pretty penny for

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Posted in Electronic Health Records, Health Information Exchange Tagged with: , , , , ,

iPHR Market Report Executive Summary Now Up at Scribd

Chilmark Research has just released the Executive Summary of its iPHR Market Report to the general public via the open publishing website, Scribd. Maybe this was an act of generosity in honor of the shortest month of the year. Maybe

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Posted in Consumer Engagement, consumer health, Dossia, Electronic Health Records, Google Health, HealthVault Tagged with: , ,

Top Ten Predictions for Healthcare IT in 2010

Plenty of top ten predictions on any number of topics, but it is rare to find one focusing on healthcare IT, Chilmark Research’s bailiwick.  And while we may be just a little late in getting this out there onto the

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Posted in CMS, Connected Health, Consumer Engagement, Dossia, Electronic Health Records, Google Health, Health Information Exchange, HealthVault, mHealth, policy

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.