Blog Archives

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

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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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Posted in ACO, PCMH, PHM, Population Health Management, standards, What we've been reading

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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Posted in Care Management, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, health portals, HL 7, mHealth, policy, Security, standards Tagged with: , , , , , , ,

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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Posted in ACO, Acquisition, Connected Health, Electronic Health Records, Health Information Exchange, standards

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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Posted in standards Tagged with: ,

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

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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Posted in ACO, consumer health, Health Information Exchange, policy, standards Tagged with: , ,

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

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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Posted in ACO, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth, standards Tagged with: , , , , , ,

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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Posted in Consumer Engagement, consumer health, Electronic Health Records, standards Tagged with: , , , ,

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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Posted in Acquisition, CCD, Cloud Computing, Electronic Health Records, HL 7, policy, SaaS, standards

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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Posted in Analytics, consumer health, Health Information Exchange, mHealth, policy, Security, standards Tagged with: , , ,

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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Posted in ACO, CCD, Cloud Computing, Electronic Health Records, Health Information Exchange, HealthVault, HL 7, PCMH, standards

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

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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Posted in ACO, Analytics, CCD, Cloud Computing, consumer health, Electronic Health Records, Health Information Exchange, mHealth, Security, standards

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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Posted in ACO, Acquisition, Analytics, Cloud Computing, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Cloud, Health Information Exchange, health portals, HealthVault, mHealth, policy, RHIO, SaaS, standards Tagged with: , , ,

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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Posted in ACO, Acquisition, Consumer Engagement, Health Information Exchange, HL 7, PCMH, policy, RHIO, SaaS, standards

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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Posted in consumer health, Electronic Health Records, Google Health, Health Cloud, HealthVault, standards

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: , ,

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

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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Posted in Connected Health, consumer health, mHealth, policy, standards, telemedicine 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:

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: , , ,

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: , , , , ,

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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Posted in consumer health, Health Information Exchange, policy, Privacy, Security, standards 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: , ,

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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Posted in CMS, Electronic Health Records, HL 7, policy, standards Tagged with: , , , , ,

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

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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Posted in CCD, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Privacy, Security, standards Tagged with:

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

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

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

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

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

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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Posted in Consumer Engagement, consumer health, Health Cloud, HealthVault, policy, Privacy, Security, standards, telemedicine Tagged with:

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

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Posted in Consumer Engagement, consumer health, policy, Privacy, Security, standards

Usability & Adoption of EHRs

Policy makers keep wondering why physicians do not readily adopt EMR/EHR software.  Under ONC’s first head, David Brailer, it was decided that a big problem was a lack of certification of EMR software to insure that it worked as advertised,

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

ONC Provides Roadmap for HITECH Act Execution

Yesterday, ONC published an 8pg document that provides a roadmap for the important decisions that they will make in the coming months. Over on the industry news website, Healthcare IT News, John Halamka provides a good overview on some of

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

Making “Meaningful Use” Well… Meaningful

The market for EHRs has stalled as potential buyers await the outcome of the government’s definition of “meaningful use” and “certified EHR” both critical for determining Stimulus reimbursement.  Of course the recession has not helped things for EHR vendors with

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

Blumenthal’s Views = Lock-down on HIT Innovation?

Prof. David Blumenthal, the new head of ONC, makes some disturbing comments regarding the Stimulus Bill, HIT and HITECH Act  in his article in the New England Journal of Medicine (NEJM). The article is not completely off-base as he does

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Posted in PHS, policy, standards Tagged with: , , , , , ,

Techies: SNOMED, HL7 Semantic Interoperability

Just came across this document that you’ll find on Scrib, which is a bit over my head, but quite sure some of the visitors to Chilmark Research will find it useful.  A team comprised of UK NHS reps and others

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Posted in CCD, HL 7, standards Tagged with: ,

Stimulus Package, HITECH Act and Ossification of HIT

We are heading down the wrong path. Despite the rounds of applause from virtually all sectors of the healthcare establishment (AHA, HIMSS, AllScripts’ customers, etc.) the HITECH Act, as currently drafted in the Stimulus Bill (both House and Senate versions

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Posted in CCD, standards Tagged with: , , , , ,

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

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

HL7 Releases Draft Standard of PHR-FM

The HIT standards organization, HL7 sent out a press release today announcing that the PHR Systems Functional Model (PHRS-FM) is now available for trial use.  This functional model has been in the making for ages (glad no businesses were depending

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Posted in Consumer Engagement, HL 7, standards

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

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Posted in CMS, Consumer Engagement, consumer health, policy, Privacy, RHIO, Security, standards Tagged with: , , ,

How Many Cooks Does it Take to Define a PHR Functional Model?

While doing some research on healthcare IT (HIT) standards for our upcoming report on the PHR market I stumbled upon 3 different organizations who all seem to be doing pretty much the same thing, defining a functional model for PHRs.

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Posted in CCD, Consumer Engagement, standards Tagged with: , , , , , ,

Civic Duty?

If you get bored of walking the aisles of HIMSS and can’t bear to hear another vendor pitch, well you could always wander over to a session where people will gather to discuss and reach consensus on what are arguably

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

PHRs vs. RHIOs and the Rise of the PHS

I do not see a long-term future for Regional Health Information Organizations (RHIOs).  There is no compelling reason for most healthcare practices to participate in an RHIO and in many cases, such participation may compromise a provider’s competitive position. Health

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Posted in Consumer Engagement, consumer health, Dossia, Health Information Exchange, PHS, RHIO, standards

Predictions 2008: Telehealth Jumps, RHIOs Fade, Legislation Stalls & PHRs Get the Press

A common practice in the analyst community is to take a look back at what has occurred and project forward as to what we might see in the coming year. I won’t spend anytime on what has occurred as you

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Posted in Connected Health, Consumer Engagement, consumer health, RHIO, SaaS, standards Tagged with: , , , , , , , , , ,

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.