Blog Archives

A Sneak Peek at Austria’s ELGA

Today I had the pleasure of having lunch with an informatics professor from the University of Wien and got an inside look into health IT in Austria. The highlight of our conversation was a discussion regarding ELGA – Austria’s national health


Time to SMAC the Healthcare Consumer

SMAC – Social, Mobile, Analytics, Cloud – is a popular framework for optimizing business performance through IT. The basic idea is that these four elements all play key roles in generating value from data through capture, storage, and application. Social


Can Apple Keep the Doctor Away?

“His treatment was fragmented rather than integrated. Each of his myriad maladies was being treated by different specialists – oncologists, pain specialists, nutritionists, hepatologists, and hematologists – but they were not being coordinated in a cohesive approach.” – Steve Jobs,


Whose Data is it Anyway?

A common and somewhat unique aspect to EHR vendor contracts is that the EHR vendor lays claim to the data entered into their system. Rob and I, who co-authored this post have worked in many industries as analysts. Nowhere, in

At the Intersection of Obesity and HIT

We Americans are on a very terrifying path, health-wise, based on the latest obesity projections from RWJF. Medical “innovations” around the obesity epidemic are unsettling, to say the least. Most recently, Dean Kamen (of Segway fame) filed a patent for

Sex Sells (or at Least Leads to Some Interesting Analytics)

One guarantee in the healthcare sector is that when it comes to personal health information (PHI), there is no lack of issues and pundits to discuss security and privacy of such information/data. If one does not jump up and down

300 Million Asthmatics and the Future of Respiratory Monitoring

A few years ago my daughter began developing asthma-like symptoms brought on by reactions to pollen, cat dander, and other triggers.  I can still remember the panic I felt in my chest the first time she ran to me wheezing

Forecast and Ramifications of Payers in the HIE Market: Part Two

(Note: This is the second of a two-part post.) Keeping it Local This is most representative of the status quo and the most realistic path forward for the vast majority of payers who typically operate at the local level. In

Whose Data is it Anyway?

Chilmark Research tends to shy away from the thorny, nearly intractable issues of privacy and security of Personal Health Information (PHI) (we’ll leave that to the lawyers and policy wonks to figure out). However one thing is very clear: As

Welcomed Changes for 2012

Since its start in 2007, Chilmark Research has kept a fairly low profile as analyst firms go, focusing on a few discrete domains of healthcare IT (HIT). First there was patient and consumer engagement that led to the publication of

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

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

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

Privacy & Security of Personal Health Information

On Saturday, Jan. 10th, I’ll be moderating a panel at the Consumer Electronics Show’s (CES) Digital Health Summit. The distinguished panel that includes executives from Dossia, Kaiser-Permenante, Microsoft and Walgreens will address the topic: Who Will you Trust with Your

Top 10 Things to Consider When Choosing a PHR

At some point, hopefully in the not so distant future, physicians, clinics and hospitals will reach for the ARRA/HITECH Act carrot, adopt a certified EHR and demonstrate meaningful use.  One proposed requirement for meaningful use that will likely pass through

Covisint Jumps onto PaaS Bandwagon

A couple of weeks ago Chilmark Research did a small piece on the need for HIE vendors to move beyond silo’d standalone exchanges to a Platform as a Service (PaaS) model.  In the write-up, the HIE vendor Axolotl was mentioned

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

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

Stuck in the Past: New HIE Model Required

On July 16th, the Office of the National Coordinator for Health IT (ONC) held a lengthy meeting of the HIT Policy Committee where a wide range of topics were addressed by various workgroups.  As we reported earlier, the Meaningful Use

CONNECT: The Feds Answer to Health Info Exchange

The feds are beating the CONNECT drum. This week, ONC sponsored a two-day event in DC to begin educating the market as to what CONNECT is and how it may be leveraged to support information exchange.  At least that is

HealthVault’s International Strategy

One of the more intriguing sessions at the recent Microsoft Connected Health Conference was that hosted by Mark Johnston, International Business Development Lead for Microsoft Health Solutions Group (HSG).  During this session and follow-on conversations, Chilmark Research received a pretty

Information Fundamental to Knowledge

The foundational element to knowledge, from which wisdom flows, is information.  Without information one can not begin to understand.  So why is it that we, as consumers, have such a hard time gaining access to our personal health records, our

Meaningful Use Draft is Tough to Swallow

Today, the Meaningful Use (MU) workgroup of ONC’s HIT Policy Committee presented its recommendations for what physicians and hospitals will need to demonstrate to obtain ARRA funding for “certified EHRs.”  Chilmark listened in on the presentation and deliberations of the

Health Records from Government Site Held for $10M Ransom

Late last week in the State of Virginia, someone hacked into the Virginia Dept. of Health Professionals (VDHP) website, downloaded all of 8M plus records and some 35M prescription records.  Upon downloading the information, the hacker went on to erase

HealthVault & NY Presbyterian – Closing the Loop on Care

Today, New York Presbyterian (NYP) will announce a significant move forward in care coordination.  Working with Microsoft for over a year, these two have co-developed an impressive platform called is a consumer facing PHR solution for NYP customers

What is HIMSS Afraid of?

Wow, is Chilmark Research getting popular! Today, we received a letter from the law offices of Jackson Lewis LLP who are acting on behalf of HIMSS.  It appears that this website has gained a certain notoriety through comments left by

Usability Study Compares Google Health & HealthVault

A boutique consulting firm, User Centric Inc.,  just released a brief report comparing the usability of the two leading Personal Health Platforms (PHP), or Health Clouds, Google Health (GHealth) and HealthVault (HV).  While we may quibble with some of the

HR 1: Stimulus Package and HIT

Just finished reading/scanning HR 1, the House Stimulus bill focusing on the HIT section, to which some $20B greenbacks will flow. This Bill just went just the Appropriations Committee and will likely pass the full house later this week. The

Health Privacy is Dead

The tech guru/gadfly, Robert Scoble, formerly of Microsoft blogger fame and now with FastCompany put up a post on the microblogging site, friendfeed with the title: Health Privacy is Dead, Here’s Why Now Scoble is very well-known in the tech/social

Hurricane Gupta Hits

Yesterday, a rumor hit the wires that the Obama adminstration was strongly considering Sanjay Gupta, CNN’s health reporter and a neurosurgeon to boot, for the position of Surgeon General. OK, so… Well, that rumor is generating all forms of comments

More on Feds’ Privacy Framework for Consumer Health Records

The online publication, NextGov has a good article that further outlines the new privacy framework that Sec. Leavitt announced on Monday during the NHIN event being held in DC.  Article is the best one I have seen yet on the

Leavitt’s Parthian Shot – Consumer Health Privacy Framework

As HHS Secretary Michael Leavitt begins packing his bags making way for incoming Sec. Daschle, he is leaving a number of legacies behind such as a very checkered success record with the NHIN (RHIOs continue to rise and fall with

The Google Health Strategy

Chilmark Research is furiously working on its next report that will take an in-depth look at the three major platform plays, Dossia, Google Health and Microsoft’s HealthVault.  Shaping up to be an excellent report (in our humble opinion) with a

Privacy & Consumer Education

There has been more written, commented upon and just general noise around the whole topic of privacy and medical records that it is often difficult to separate what truly is important and reason for concern and what is not. Time

PHR Certification Looking for Input

Now, I am no fan of the whole CCHIT initiative to develop a certification process for PHRs as this market is far too immature.  But continue on they do and whether I like it or not matters little for the

Shrinking Boundaries of Privacy

What happens when the grown child of an ill-legal immigrant (she has been in the US since toddler stage) goes to a health clinic, falsifies a Social Security number (borrowed from a friend) to receive pregnancy care?  Well, authorities, in

USB Thumb-drives: Just a Bad Idea for PHRs

In performing the research that led up to the publishing of our iPHR Market Report in May, one step we took was to look at ll the multitudes of PHR solutions in the market and on which form factor were

Security & Privacy Covered by Scientific American

Waiting to meet someone for lunch today here in Harvard Square at the Out of Town News store and on the rack was the latest, September issue of Scientific American. The September issue is dedicated to security and privacy in

Interview with Adam Bosworth, formerly of Google Health

Adam Bosworth made quite a name for himself in the healthcare space while he was leader of the Google Health initiative. All got quite strange, however, when while on vacation late last summer, Bosworth decided not to return to Google

Quick Survey – CMS PHR Pilot: No Money, No Play

I stay in pretty close contact with a wide range of PHR vendors, both big and small to keep close tabs on the market, which is a common practice among “good” industry analysts after they publish a report. I only

Yesterday in DC: AHIC Mtg Highlights

Yesterday, I had the honor to present to Sec. Leavitt and the AHIC on trends and projections for personal health information. As I had only a brief 10 minutes to work with, I needed to put together a dense set

PHR Recommendations from Task Force Appear Painless

CCHIT announced yesterday that the blue ribbon PHR Advisory Task Force has released their recommendations for the follow-on PHR Workgroup to use in developing certification guidelines for PHRs.  CCHIT will then use these guidelines to certify PHRs in much the

Covisint Leverages Mfg Infrastructure for Healthcare

Covisint is one of those companies that shows up in a market, seemingly from nowhere, strikes a couple of partnerships many wonder, where did they come from? In February 2008, Covisint had a co-announcement with AT&T on being selected by

Slap on Wrist for Privacy Violation

While there has been no lack of security breaches in the healthcare sector, despite what many claim as the Holy Grail of privacy protection, HIPAA, there have been very few actual fines for HIPAA violations.  Like any regulation, if it

Drop-off/Pick-up: Nice Concept, but will Doctors Use It

While I normally do not like to do double posts on any one vendor, I was struck by HealthVault architect Sean Nolan’s most recent post on a new feature they have developed which they call Drop-off, Pick-up (DOPU). Looks like

Will a Mental Evaluation be a Part of Your Next HRA?

This week, OptumHealth announced an exclusive 3 year agreement with the Australian company Brain Resource. OptumHealth will be embedding the Brain Resource platform into their overall Behavioral Solutions program. The recently published Sharp Brains Report puts the value of the

New Twist on the Risk/Benefit Balance for PHI

Any frequent visitor to this site knows that I have some strong opinions regarding privacy of medical records. Primary among those opinions is that while there are certainly risks inherent it the move to digital records, in an instant they

NYT Editorial Stirs up a Hornet’s Nest

On June 24th, the New York Times had an editorial promoting the adoption of EMR. Editorial was a prompted by the recent report from the NEJM on EMR adoption. As one might expect, the editorial generated a number of letters

Is that a Dark Cloud on the Horizon?

The latest issue of HIStalk mentioned a recent post by noted Harvard Professor Nick Carr (he wrote the controversial book, Does IT Matter). The post addresses the rapidly evolving trend towards “Cloud Computing” and raises a number of issues/implications that

Privacy Framework for PHRs

Early this afternoon, The Markle Foundation announced broad industry endorsement for their just released Privacy Framework, a part of a broader effort by Markle referred to as the Connected For Health Framework. Quoting from the press release: …endorsing a set

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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.