Category: standards

The Need for “Precision” Definitions

Healthcare is a study in extremes.  On the precise end of the continuum, we have the surgical precision of the neurosurgeon’s scalpel and the micro-precision of genomic studies.  On the not-even-close-to-precise opposite end of the continuum, we have the very

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Can APIs Really Improve HIT?

We hosted a webinar on this topic on December 14, 2016. To retrieve a copy of the slides, please follow this link. We will also be posting the recording. A critical element of business success across industries has been the

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3 Implications in Death of MU

I’m here at the big JP Morgan conference in San Francisco where CMS administrator, Andy Slavitt dropped the bomb that the Meaningful Use (MU) program will discontinue in 2016. John Lynn did a nice summary of what Slavitt actually said, or at

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Going Beyond the Obvious: 2016 Predictions for Healthcare IT

Never a dull moment in healthcare. 2015 saw plenty of changes and some inklings as to what may be in store for us in 2016. While there was plenty of noise around ICD-10, it was a non-event in 2015. Likewise,

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#WWBR Week of August 28, 2015

“You Get Reminded You’re a Sick Person”: Personal Data Tracking and Patients With Multiple Chronic Conditions Jessica Ancker, et al in Journal of Medical Internet Research “Stop me if you’ve heard this before, but there’s a disconnect between what health

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#WWBR Week of March 23, 2015

The CMS and ONC NPRMs Micky Tripathy and John Halamka for Life as a Healthcare CIO “One of the more balanced views of the proposed MU3 regs from those that know the inside of regulation sausage making; and the outside,

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#WWBR Week of February 23, 2015

Study Urges Greater Financial Disclosure by Nonprofit Integrated Health Systems Jill Bronstein in National Academy of Social Insurance “A study came out from the National Academy of Social Insurance looking at the societal value of IDNs. The study had several

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#WWBR Week of February 9, 2015

Coverage of our recently released Clinical Patient Engagement Report: Analyst: Widespread provider adoption of patient engagement tools still two years out via MobiHealthNews Healthcare Orgs. Still Doing Bare Minimum on Patient Engagement, Report Says via Healthcare Informatics Patient engagement ‘taking a

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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

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#WWBR Week of January 12, 2015

Trinity Health to expand risk-based care with Heritage Provider Network Bob Herman for Modern Healthcare “Intriguing partnership between two healthcare providers to provide bundled healthcare services to payers and employers. We will see far more partnerships such as this in

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#WWBR Week of December 1, 2014

Employee wellness programs, JASON strikes again, CMS’s ACO move, and more in this week’s #WWBR

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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)

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#WWBR Week of September 29, 2014

Doctors Find Barriers to Sharing Digital Medical Records Julie Creswell for The New York Times “A non-technical overview at the issue of Interoperability, with a focus on everyone’s favorite bad-guy vendor, Epic Systems. Nothing we don’t already know, but some

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#WWBR Week of September 22, 2014

In this week’s WWBR, lots on pricing transparency and payment reform in the health system, and some new thoughts on whether all this excitement is really warranted. On a slightly different note, Brian shares a very important IOM article addressing

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What We’ve Been Reading – Week of August 25, 2014

If there was one thing on our minds this week, it was the launch of our most recent report, the 2014 Analytics for Population Health: Market Trends and Analysis. After months of research and writing, we are pleased to present

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Three Big Questions for Stage 3 & Patient Engagement

For many, the delay of Stage 3 of the Meaningful Use program evoked a collective sigh of relief, providing a much-needed extra year to focus on the challenging requirements for patient engagement and interoperability. As distant as 2017 may seem

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Here an HIE, There an HIE, Everywhere an HIE

In late March, I headed down to Belize with a bunch of high school students to do some service work. Joining the crew was a parent, Harry (not his real name), who happened to be a urologist sharing a private

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Innovation: What is it?

If it is one thing that the healthcare IT industry doesn’t lack, it is innovation – or it least innovation on the edges. From Sanofi, to HHS, to Cigna and other stakeholders, there seems to be no lack of challenges, code-a-thons and the like but one has to wonder, do the results of any of these challenges actually end up in the hands of consumers and/or clinicians?

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A Layer Above it All: Healtheway’s Value Prop

Now that NwHIN has been spun-out into the public-private entity Healtheway one has to wonder exactly what value they can deliver to market that will sustain them as they attempt to ween themselves from the federal spigot. Healtheway has no

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Moving to HIE 2.0

This week I had the pleasure to be the keynote speaker at Orion Health’s HIE User Conference in the beautiful state of my youth, Colorado. In preparing for this conference I was struck again by just how quickly this market

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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

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The Promise of a Little Blue Button

Yesterday, I was in Washington DC to attend ONC’s Consumer Health IT Summit. While having high hopes for some breathtaking new developments, ultimately walked away disappointed as this event ultimately devolved into a Blue Button promotional event. Now I have

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Struggling to Understand or Data Does Not Equal Empowerment

Recently upon leaving my doctor’s office I was presented with a print-out of my visit summary. Knowing I worked it the HIT space my doctor proudly stated that this was one the ways that they planned to meet one of

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Why We Won’t See EHR Consolidation Anytime Soon

All too frequently I get the question: When will we see the EHR market consolidate? Not an unreasonable question considering just how many EHRs there are in the market today (north of 300) and all the buzz regarding growth in

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Some Areas We Covered in May Monthly

Earlier this year Chilmark Research launched its latest service, the Chilmark Advisory Service (CAS). One of the benefits of CAS is that subscribers receive a continuous feed of our research, from major annual reports such as the recently released 2012

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At Last, It’s Here: 2012 HIE Market Report

This morning we announced the release of our latest report: 2012 HIE Market Report: Analysis and Trends of the Health information Exchange Market. As we found in last year’s report, the HIE Market and the vendors that serve it continues

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

The numerous changes in the healthcare sector are forcing stakeholders to develop new business models to prosper, to survive. Among health insurers, this means one thing: diversification. Health reform was the nail in the coffin of yesterday’s business model, a

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Predictions 2012: Not What You Think

Admittedly, our predictions for 2011 were modest. Most of those predictions were logical and did not take a whole lot of imagination to envision thus our success rate, 7 “hits”, 2 “toss-ups” and 2 “misses was quite high. And though

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Looking Back on 2011 – What A Strange Year It’s Been

It is almost becoming the norm to say that it has been another tumultuous year in the healthcare IT market. Market consolidation, pushback on timelines, growing chorus from IT departments that enough is enough against the backdrop of the political

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HIE Market Snippets

In January, we released our HIE Market Report: Analysis & Trends which was extremely well-received. Sales have exceeded our rather optimistic projections – great for us. But what we are most proud of and honestly what keeps us going is

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RIP Google Health

Chilmark Research has not had a very good feeling about Google Health for well over a year now. Back in early May of this year we felt that Google had all but given up and had put Google Health in

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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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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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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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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

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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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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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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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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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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

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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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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

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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

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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

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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

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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

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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

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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

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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

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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

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