Comments for Chilmark Research http://www.chilmarkresearch.com Sat, 11 May 2013 10:42:47 +0000 hourly 1 http://wordpress.org/?v=3.4.2 Comment on Microsoft Bows Out of the Clinical Market by Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech | Bloguh http://www.chilmarkresearch.com/2011/12/08/microsoft-bows-out-of-the-clinical-market/#comment-105148 Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech | Bloguh Sat, 11 May 2013 10:42:47 +0000 http://chilmarkresearch.com/?p=3410#comment-105148 [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...] [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...]

]]> Comment on Microsoft Bows Out of the Clinical Market by Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech - IT Clips http://www.chilmarkresearch.com/2011/12/08/microsoft-bows-out-of-the-clinical-market/#comment-105129 Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech - IT Clips Sat, 11 May 2013 10:19:24 +0000 http://chilmarkresearch.com/?p=3410#comment-105129 [...] isn’t to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...] [...] isn’t to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...]

]]> Comment on Microsoft Bows Out of the Clinical Market by Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech - Daily Small Talk http://www.chilmarkresearch.com/2011/12/08/microsoft-bows-out-of-the-clinical-market/#comment-105120 Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech - Daily Small Talk Sat, 11 May 2013 09:57:46 +0000 http://chilmarkresearch.com/?p=3410#comment-105120 [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...] [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...]

]]> Comment on Microsoft Bows Out of the Clinical Market by Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech • The Next Web http://www.chilmarkresearch.com/2011/12/08/microsoft-bows-out-of-the-clinical-market/#comment-104938 Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech • The Next Web Sat, 11 May 2013 02:36:17 +0000 http://chilmarkresearch.com/?p=3410#comment-104938 [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...] [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...]

]]> Comment on Microsoft Bows Out of the Clinical Market by DD Tech Solutions | Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech http://www.chilmarkresearch.com/2011/12/08/microsoft-bows-out-of-the-clinical-market/#comment-104886 DD Tech Solutions | Microsoft’s Sean Nolan on electronic medical records, their storage, and the future of health tech Sat, 11 May 2013 00:00:10 +0000 http://chilmarkresearch.com/?p=3410#comment-104886 [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...] [...] to say that Microsoft’s health activities have all been linear; in 2011, for example, it left the clinical market. Other companies remain in the space as well, such as Dossia, and [...]

]]> Comment on Here an HIE, There an HIE, Everywhere an HIE by Steve Wise http://www.chilmarkresearch.com/2013/04/29/here-an-hie-there-an-hie-everywhere-an-hie/#comment-97859 Steve Wise Mon, 29 Apr 2013 15:03:32 +0000 http://www.chilmarkresearch.com/?p=4895#comment-97859 Take a look at I-DENTI-FIED which was created for this very reason. Take a look at I-DENTI-FIED which was created for this very reason.

]]> Comment on Setting the Story Straight on CommonWell by Erwin A. Horton http://www.chilmarkresearch.com/2013/04/12/setting-the-story-straight-on-commonwell/#comment-97827 Erwin A. Horton Mon, 29 Apr 2013 14:05:50 +0000 http://www.chilmarkresearch.com/?p=4886#comment-97827 Notably absent from the lineup is Epic Systems, the largest EHR supplier. Some observers have interpreted rumors of the interoperability alliance as an effort to counter the dominance of Epic by making end-to-end integration of applications less important to healthcare organizations. Notably absent from the lineup is Epic Systems, the largest EHR supplier. Some observers have interpreted rumors of the interoperability alliance as an effort to counter the dominance of Epic by making end-to-end integration of applications less important to healthcare organizations.

]]> Comment on Cloud Computing in Healthcare, A Presentation by Deanne Naud http://www.chilmarkresearch.com/2009/01/12/cloud-computing-in-healthcare-a-presentation/#comment-97634 Deanne Naud Mon, 29 Apr 2013 07:57:17 +0000 http://chilmarkresearch.com/?p=1067#comment-97634 Cloud computing is the use of computing resources (hardware and software) that are delivered as a service over a network (typically the Internet). For example, email. The name comes from the common use of a cloud-shaped symbol as an abstraction for the complex infrastructure it contains in system diagrams. Cloud computing entrusts remote services with a user's data, software and computation.. Remember to pay a visit to our blog <http://www.healthmedicinecentral.com<B> </B> Cloud computing is the use of computing resources (hardware and software) that are delivered as a service over a network (typically the Internet). For example, email. The name comes from the common use of a cloud-shaped symbol as an abstraction for the complex infrastructure it contains in system diagrams. Cloud computing entrusts remote services with a user’s data, software and computation..

Remember to pay a visit to our blog
<http://www.healthmedicinecentral.com

]]> Comment on mHealth: Seemingly Stuck in Neutral by Danyel Truman http://www.chilmarkresearch.com/2011/12/09/mhealth-seemingly-stuck-in-neutral/#comment-96940 Danyel Truman Sun, 28 Apr 2013 08:24:21 +0000 http://chilmarkresearch.com/?p=3416#comment-96940 In addition to telephony, modern mobile phones also support a wide variety of other services such as text messaging, MMS, email, Internet access, short-range wireless communications (infrared, Bluetooth), business applications, gaming and photography. Mobile phones that offer these and more general computing capabilities are referred to as smartphones., Most recent short article coming from our own homepage <http://www.foodsupplementdigest.com<B> </B> In addition to telephony, modern mobile phones also support a wide variety of other services such as text messaging, MMS, email, Internet access, short-range wireless communications (infrared, Bluetooth), business applications, gaming and photography. Mobile phones that offer these and more general computing capabilities are referred to as smartphones.,

Most recent short article coming from our own homepage
<http://www.foodsupplementdigest.com

]]> Comment on Setting the Story Straight on CommonWell by Adrian Gropper http://www.chilmarkresearch.com/2013/04/12/setting-the-story-straight-on-commonwell/#comment-86291 Adrian Gropper Mon, 15 Apr 2013 22:16:21 +0000 http://www.chilmarkresearch.com/?p=4886#comment-86291 John, We seem to agree on a couple of more things and disagree on the big one. 1) We agree that providers are as much or more to blame than the vendors. The vendor lock-in business model is well worth the expense the providers incur if it serves to increase their pricing leverage. Siloed EHRs prevent patient mobility and restrict physician referrals. In many regions, the ability to dominate a market has given the most integrated delivery system a 30% price benefit over less integrated competitors. Epic dominates these markets today and it’s conceivable that CommonWell could reduce physician and patient lock-in if it drives the Epic providers to adopt CommonWell protocols. 2) We agree that the CommonWell / Epic saga needs to be reported, but does it really matter what happened in the month before and after the announcement? The clarity you seek might come only when Epic and CommonWell agree on protocols and governance regardless of who shot first. Even then, Chilmark should analyze what would be the impact on the market and provider pricing leverage if Epic either stays out or joins the CommonWell protocols. My amateur analysis says that it would make no difference at all if the vendors’ protocols undercut state health information exchanges and patient-directed Blue Button Plus exchange. The important thing is protocols and governance that increase patient and physician mobility relative to the integrated providers. 3) We agree that McCallie and Malec are as honorable and prolific as anyone in this business and I have worked with both of them over many years. I say this publicly every chance I get, so here it is again. 4) I have not seen any statement from CommonWell about free interfaces. DICOM works for decades and has no transaction or interface fees. So do WiFi, Bluetooth and Continua, to cite your examples. Epic charges high interface fees for external transactions. Let’s hope CommonWell will be like DICOM and not like HL7. Your final “question” and example are inappropriate and do not apply to the CommonWell initiative. WiFi, Bluetooth and Continua operate in Markets. Real markets where consumers purchase the technology they use. EHRs do not operate in a real market. Both doctors and patients are forced to use whatever EHR is imposed on us by the Provider (sounds like a Star Trek, episode, doesn’t it?). There is no substitutability and, as a result of the HITECH incentives so far, much less competition and massive consolidation. I’m no fan of regulating technology, but in healthcare the market has clearly failed and state action for transparency, portability and privacy is required before health care costs swallow the rest of our economy. John,

We seem to agree on a couple of more things and disagree on the big one.

1) We agree that providers are as much or more to blame than the vendors. The vendor lock-in business model is well worth the expense the providers incur if it serves to increase their pricing leverage. Siloed EHRs prevent patient mobility and restrict physician referrals. In many regions, the ability to dominate a market has given the most integrated delivery system a 30% price benefit over less integrated competitors. Epic dominates these markets today and it’s conceivable that CommonWell could reduce physician and patient lock-in if it drives the Epic providers to adopt CommonWell protocols.

2) We agree that the CommonWell / Epic saga needs to be reported, but does it really matter what happened in the month before and after the announcement? The clarity you seek might come only when Epic and CommonWell agree on protocols and governance regardless of who shot first. Even then, Chilmark should analyze what would be the impact on the market and provider pricing leverage if Epic either stays out or joins the CommonWell protocols. My amateur analysis says that it would make no difference at all if the vendors’ protocols undercut state health information exchanges and patient-directed Blue Button Plus exchange. The important thing is protocols and governance that increase patient and physician mobility relative to the integrated providers.

3) We agree that McCallie and Malec are as honorable and prolific as anyone in this business and I have worked with both of them over many years. I say this publicly every chance I get, so here it is again.

4) I have not seen any statement from CommonWell about free interfaces. DICOM works for decades and has no transaction or interface fees. So do WiFi, Bluetooth and Continua, to cite your examples. Epic charges high interface fees for external transactions. Let’s hope CommonWell will be like DICOM and not like HL7.

Your final “question” and example are inappropriate and do not apply to the CommonWell initiative. WiFi, Bluetooth and Continua operate in Markets. Real markets where consumers purchase the technology they use. EHRs do not operate in a real market. Both doctors and patients are forced to use whatever EHR is imposed on us by the Provider (sounds like a Star Trek, episode, doesn’t it?). There is no substitutability and, as a result of the HITECH incentives so far, much less competition and massive consolidation. I’m no fan of regulating technology, but in healthcare the market has clearly failed and state action for transparency, portability and privacy is required before health care costs swallow the rest of our economy.

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