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Presentation given in NYC on March 29, 2010 addressing future trends in healthcare IT adoption, with focus on EHRs, PHRs, HIEs and federal stimulus funding.

Presentation given in NYC on March 29, 2010 addressing future trends in healthcare IT adoption, with focus on EHRs, PHRs, HIEs and federal stimulus funding.



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  • What is it Anytime/anywhere/any device SPIME (space & time) Personal Actionable Engaged Who is Customer All consumers How many use it Tens of millions When 2010-20??

EHRs, PHRs, & ARRA EHRs, PHRs, & ARRA Presentation Transcript

  • EHRS, PHRs & ARRA Where We’ve Been, Where We’re Going Presentation at: IT & the Future of Managed Care: The Next Wave March 29, 2010, New York, NY By: John Moore, Managing Partner [email_address]
  • Chilmark Research
    • Founded in 2007
    • Healthcare IT Industry Analyst Firm
      • Particular emphasis on Consumer-facing HIT
    • Current Research Areas Include:
      • Personal Health Records, Cloud Computing, Health Information Exchanges (HIEs), mHealth, Engagement Strategies
    • Services Offered:
      • Market Research - Adoption & Technology Trends
        • Self-sponsored and client sponsored reports
      • Strategic Advice
        • Competitive landscape, market trends, business plan development, go to market strategies
  • While Consumers Increasingly Go Online for Health Info… Now One of the Top Activities on the Net View slide
  • Few Manage Health Records on Net Source: Forrester Research Q2’08 Survey n= 5,242 Today, Meager 3.3% iManage PHI View slide
  • Top 3 Challenges to Adoption
    • Data
      • Getting it, Cleansing it, Sharing it
    • Trust
      • Privacy & Security
      • Provenance
    • Value
      • Personal
      • Actionable
      • Relevant
    Consumer Engagement Begins Here
  • ARRA, Meaningful Use & EHRs
    • Roughly $40B for Healthcare IT
      • Over 50% to Promote EHR Adoption
        • Incentive Reimbursement for “Meaningful Use of Certified EHRs”
          • eRX, Quality, Care Coordination
    • Significant Challenges
      • Demonstrable ROI of EHRs Elusive
      • Significant Productivity Hit
      • Definitions/Burden Undefined
  • ARRA & HIEs
    • Over $1B Dedicated to HIEs
      • Most States Received Grants
        • Up to $40M
        • Self-sustainable within ~3yrs
    • Foster Data Liquidity
      • Promote Care Coordination
        • Labs, med lists, problem lists
      • Lower Costs
    • Digital Records Critical to Success
      • EHR Adoption?
    Sustainability & Private HIE Engagement Key Challenges
  • Consumers, Data, Access & PHRs
    • EHRs & Meaningful Use
      • Stage One: Digital Data in 48Hrs
      • Stage Two: Provide PHR
    • HIEs & Care Coordination
      • Aggregate Data=Longitudinal Record
    • Removes “Data Barrier” for PHR
      • Unlikely to be Enough
        • Education, Trust & Value
    Consumers Do Not Want a Digital Filing Cabinet
  • Moving Beyond PHRs: Transactions & Personalization
    • Act on Data
      • Appointment Scheduling, Rx Refills, eVisits, Financial/Expense Mgmt., etc.
    • Personalize Data
      • Communities of Care, Advice, Condition-related Content
    • Anytime, Anywhere Access
      • Health is Mobile
    What Job is the Consumer Trying to Accomplish?
  • “Convergence” Personal, Actionable, Connected Value: About Me, By Me, With Me, For Me
  • Final Thoughts…
    • Time to Ditch PHR Term
      • Consumers NOT Interested in Digital File Cabinet
    • Personal Health Platforms (PHP) are Future
      • Ecosystems for Consumer Health
        • Personal, Actionable Data
    • Education Critical
      • What’s in it for me?
    • Without Consumer Engagement, HIT Adoption may be DOA
      • Stimulus Funding is Not Enough to Move Needle
    • The First Wealth
    • is Health
    • - Ralph Waldo Emerson