Blog Archives

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

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

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

mHealth: Is it a Market?

Been attending the mHealth Summit for the last 3 days and an over-arching theme has been: mHealth is unlikely to ever become a market in its own right. Backing up this claim have been the countless projects/products being presented at

Get Out & Vote

One would have to be a hermit, living in a cave without a radio, TV, newspaper subscription, etc., to not know that today is election day.  The barrage of ads and rhetoric has been unprecedented with some estimating that up

SureScripts, A Defacto NHIN

Yesterday in New Orleans, SureScripts announced a new line of business: Clinical Interoperability. Leveraging their existing ePrescribing solution platform, currently serving over 200K physicians nationwide, and combining it with the technology stack of messaging solution provider Kryptiq, SureScripts will offer

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

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

HIEs in the Public Interests

In about an hour’s time I will head downtown to participate in yet another Commonwealth of Massachusetts HIE Consumer Workgroup meeting. The workgroup, formed by the Secretary of Health last Spring, is charged with insuring that the strategic HIE and

HIEs in the Public Interest

The Health Information Exchange (HIE) market is the Wild West right now.  Vendors are telling us that they are seeing an unprecedented level of activity both for private and public HIEs.  Private HIEs are being set-up by large and small

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

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

Where is the Consumer in Vendors’ HIE Solutions?

In Monday’s post, Chilmark reflected upon a piece that Peter Hudson, co-founder of Healthagen, the developers of mHealth app iTriage wrote for mobihealthnews. In that article, Peter talked about the utility of an mHealth-based PHR (iTriage recently launched such capabilities),

Going Stealth, MSFT Brings HealthVault to UK

Today, Microsoft, via a blog post by its UK leader John Coulthard, announced the launch of HealthVault in the United Kingdom. Yesterday, Chilmark received a briefing from Microsoft’s Director of International Development, Mark Johnston who provided us the back-story on

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

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

Survey Uncovers Strong Growth in PHR Usage

Today, the California Health Care Foundation (CHCF) released a consumer survey report looking at perspectives on healthcare IT, privacy of personal health information (PHI) and use of internet tools, such as PHRs to manage their health or health of a

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

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

Consumer Consent and HIEs

One of the thornier issues regarding the establishment of public Health Information Exchanges (HIEs) is how to manage consumer consent of personal health information (PHI) sharing.  Today, there is no single standard approach across the US.  Some states have an

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

The Great Land Grab of 2010 or the Play for State HIEs

The first major distribution of HITECH Act funds occurred a couple of weeks ago when HHS awarded nearly $1 billion for HIT initiatives including $386 million to 40 states and territories to help establish public Health Information Exchanges (HIEs).  This

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”

RHIO Failure: CalRHIO Goes Belly-up

The much ballyhooed Health Information Exchange (HIE) in the state of California, CalRHIO, has raised the white flag, dismissing its troops and sending home its arms supplier (Medicity).  Despite its founding five years ago, support of some significant organizations (e.g.,

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

Achieving Meaningful Use: View from the Trenches

Since the Meaningful Use and Certification proposed rules have been released, have read numerous articles, posts and tweets to gain some perspective on the ramifications of these rules on the market.  The best piece I’ve read by far is that

Part One: Stage One Meaningful Use Winners

As required by legislation in the American Reinvestment and Recovery Act (ARRA), HHS/CMS released rules for the meaningful use of certified EHRs before the end of 2009 (late the afternoon of Dec. 30th).  Others have already written plenty on what

Meaningful Use Rules Hit the Streets

Late yesterday afternoon, the Center for Medicare and Medicaid Services (CMS) who holds the big bucket of ARRA incentive funds for EHR adoption, released two major documents for public review and comment that will basically define healthcare IT for the

Quiet for the Holiday Break

Will be quiet here at Chilmark Research as I take a break to be with family in the western offices of Chilmark Research.  Though I’ll be skiing as much as conceivably possible, in the early mornings before the lifts open

Reading the Tea Leaves: CMS to Release MU Rules this Month

The healthcare IT (HIT) industry waits with baited breath for the release of preliminary meaningful use (MU) rules, scheduled for later this month.  Why the baited breath?  Market has basically stalled as physicians & hospital CIOs hold off HIT purchases

ONC Reaches Out with Health IT Buzz

Yesterday, Dr. Blumenthal, head of the Office of the National Coordinator (ONC) who is tasked with the roll-out (setting policy) for all that HIT stimulus funding under the HITECH Act, launched his own Blog: Health IT Buzz.  With over 20

PHAT: Mash-Up on Healthcare IT

On Monday, I participated in the Harvard School of Public Health event, Public Health and Technology (PHAT) which brought together a diverse views of healthcare, reform and the role that IT will play.  The morning session focused on the status

Blumenthal Beats HITECH Drum

Yesterday, David Blumenthal published a very thoughtful post on the HITECH Act as a foundation for information exchange in which he reflected on his own personal experience as a doctor.  That experience included the often frustrating realization that he could

Harvard Health Forum to Tackle Consumer HIT

Next Monday I’ll be participating in the Public Health & Technology (PHAT) Forum at the Harvard School of Public Health, an event by and large organized by Harvard’s Public Health grad students.  I feel honored to be moderating the afternoon

HIEs, Future PaaS for Healthcare?

An interesting, and somewhat overlooked press release came out last week from the health information exchange (HIE) vendor Axolotl wherein they announced that a third party independent software vendor (ISV), eHealth Global Technologies, would be available on top of the

Consumer Preferences: Sharing PHI

Last week, HHS sent a notice to a limited number of people in the healthcare space soliciting their comments on a Draft Requirements Document for Consumer Preferences.  The Draft seeks to establish a common framework allowing a consumer to define

The Follow-up Visit

This week I had two follow-up appointments from on my trip to ER last Sunday.  The first was to the trauma orthopedist at Brigham & Women’s.  Upon entering the office, was handed the infamous clipboard with five pages of forms

NHIN: The New Health Internet?

Chilmark has not been a big fan of the National Health Information Network (NHIN) concept. It was, and in large part still is, a top heavy federal government effort to create a nationwide infrastructure to facilitate the exchange of clinical

What Providers Should Consider Regarding PHRs

On Friday last week, Chilmark Research participated in the session, “PHRs and EHRs, Should They Be Linked?” as part of the Health IT Stimulus Summit that was put on by Health Data Management. With meaningful use criteria that was approved

Time to Kill the PHR Term: Part 2

Yesterday, we outlined why the PHR term has the potential to stunt future advances in consumer health and engagement via HIT.  Our thesis is that the PHR term is rooted in a dated concept of simply providing the user/citizen a

Time to Kill the PHR Term: Part 1

Chilmark Research is becoming increasingly uncomfortable with the PHR acronym for Personal Health Record.  There are a couple of reasons for this: 1) The term is a hold-over from the physician-centric term EMR and thereby firmly attached to that conceptual

Spigots are Opening: $1.16B for HIT in 2010

Yesterday, there was a press conference at Mt Sinai Hospital in Chicago with VP Joe Biden, HHS Sec. Kathleen Sebelius and ONC head David Blumenthal to announce the first major release of ARRA funds for HIT.  The total amount, $1.16B

PHRs, What Are They Good For?

Title of this post is the title of a session I’ll be moderating at the upcoming AHRQ conference to be held in Bethesda, MD from Sept 13-16.  If you’ve been thinking of attending this free conference (its put on by

CCHIT has a Seat at Table – for Now

Today, the HIT Policy Committee met once again, this time to hammer out what the term “certified EHR” means within the context of future ARRA reimbursements to physicians and hospitals.  Chilmark sat in on the discussions, here is our assessment

Good, Bad & the Ugly at the Aspen Health Forum

Little over a week ago, Chilmark Research attended the Aspen Institute’s Health Forum, that addressed an eclectic mix of health issues from the Pursuit of Happiness, to the Epidemic of Childhood Obesity, Food/Nutrition, to making the most of Stimulus funding

Meaningful Use & the PHR Market

Yesterday’s ONC HIT Policy Committee meeting was a big one.  Over the course of many hours, the committee went from hearing revised recommendations for Meaningful Use, to recommendations from the HIE workgroup and lastly recommendations regarding certification processes for EHRs. 

Stay Tuned, Meaningful Use Part Deux Forthcoming

Today, ONC’s HIT Policy Committee will reconvene to hear the latest iteration of draft recommendations on “meaningful use.” For those of you that are new to all of this, “meaningful use” is the legislative language used in ARRA, to insure

Independence, Basic Rights & PHI

On the eve of our nation’s Independence Day, it is a good time to reflect on what this truly means to us, the US citizen and even reflect upon what this means within the context of healthcare and future reform

Our Meaningful Use Comments

In the FWIW column, Chilmark Research submitted its comments on the Draft Recommendations for Meaningful Use, which were released on June 16th.  Today at 5pm was the deadline and we barely made it (email time-stamp of 4:59pm).  Following is the

<8hrs to Get Your Comments In

The proverbial doors to get your comments in on the Draft Recommendations for Meaningful Use that were released on June 16th close late this afternoon at 5pm ET.  Plenty has been written here by Chilmark Research on the topic of

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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.