HIT Trends (June 2011)

8/4/2019 HIT Trends (June 2011)

1/29

Circle Square | HIT Trends | Page 1

HIT Trends

June 2011

H EALTH I NFORMATION T ECHNOLOGY

8/4/2019 HIT Trends (June 2011)

2/29

8/4/2019 HIT Trends (June 2011)

3/29

Circle Square | HIT Trends | Page 3

AHRQ literature review of medication management and HIT reports

benefits in 5 areasFocus on E-prescribing

June 2011

More Info: AHRQ

1. Process changes. Changes in theprescribing process are associated withdecision support and computerized physician order entry. 70% of the studies on

monitoring had at least a 50% improvement. All medication reconciliation studies

reported benefits. Most process benefits include patient safety and error reduction.

Unintended consequences included poor integration with workflow leading to errors.

2. Intermediate outcomes. Deals with usability and knowledge. Most citedresults include ease of use, usefulness and perceived care quality as well as user

satisfaction.

3. Economic outcomes. Several studies pointed to lower adverse drug events,drug costs and lab test usage.

4. Clinical outcomes. 34% of studies in this area reported significant benefits toHIT. Approaches that intervened with patients based on actual measures, e.g., BP or

HgA1c, were more effective than those focused on theoretical issues, e.g., potential

for ADEs.

5. Qualitative studies. Focused on system design including workflow changes,challenges with the system interface, and new communication processes. Most

reported implementations were rocky at first and required hard work.

Editorial. 40,582 articles retrieved. 4,578 reviewed in detail. Data from 428 are included in the report. Clinical decision

support and CPOE in hospitals were most studied. On balance the evidence is positive, focused on process improvements

and safety benefits while some economic and outcomes benefits are also shown. Includes comprehensive source listings.

8/4/2019 HIT Trends (June 2011)

4/29

Circle Square | HIT Trends | Page 4

EMR market forecast at $6B in 2015Focus on EHR

June 2011

More Info: Healthcare IT News

MarketsandMarkets forecasts the EMR market to

reach $6B by 2015, up from $2.2B in 2009.

This is an annual growth rate (CAGR) of18.1%

Client-server solutions serving hospitals and large

practices comprise 76% of the market.Web-based EMRs are a fast growing segment

appealing to smaller practices.

Allscripts is the physician practice EMR share

leader with 15.7% of the market

MEDITECH is the hospital EMR leader with 24.9%share. Focused on hospitals under 200 beds.

Editorial. RNCOS recently reported $40B total HIT market by the end of

2011 and an $8.2B market for EMR solutions in 2011 including

professional services and growing at 24% CAGR through 2014.

8/4/2019 HIT Trends (June 2011)

5/29

Circle Square | HIT Trends | Page 5

AMA releases an interactive tool to help members set HIT prioritiesFocus on EHR

June 2011

More Info: AMAGINE; AMA

Health IT Index interacts with practices about

health IT priorities and compares them withothers.

So far these are the priorities of the community.

1. EMR

2. E-prescribing

3. Care Coordination

4. Claims processing

5. Lab ordering and results

6. Secure communications

7. Clinical knowledge

Amagine also announced its approach to

meaningful use includes registry-oriented EMRs

with focused electronic prescribing.

DocSite Registry and DrFirst Rcopia-MU

WellCentive EHR-M and DrFirst Rcopia-MU

Editorial. While the priorities are actually more clustered than shown, the interactive tool does reveal a sense of functional

priorities. The announcement of pairing registries and e-prescribing systems for a comprehensive approach to meaningful use

incentives is a welcome new alternative that should get significant market attention.

Clinical knowledge

Secure communications

Labs

Care coordination

Claims

E-prescribing

EMR

Urgency

Importance

Note: not to scale

8/4/2019 HIT Trends (June 2011)

6/29

Circle Square | HIT Trends | Page 6

Focus on EHR

June 2011

More Info: eHI

1. Care coordination foundation

is a care plan for patients.

2. High touch can engage the

patient if high-tech

unavailable.

3. EHRs make care coordination

possible and offer better info.

4. Additional EMR functionality

is needed to support

coordination.

5. Health info exchange is not

yet ready to support

communications.

Editorial. The report tracks two detailed case studies at Taconic IPA and Community Health Center in CT. The EMRs are useful

but insufficient to support care coordination. Workarounds are available through increased staffing.

6. Integration of care

coordination into complex

workflows are critical yet

difficult.

7. Economic incentives based

on increased visits thwarts

progress.

8. Care coordination is

essentially a nursing

function.9. Handling the most complex

patients via care

coordination is financially

sustainable.

Centering on the Patient: How Electronic Health RecordsEnable Care Coordination

8/4/2019 HIT Trends (June 2011)

7/29Circle Square | HIT Trends | Page 7

EMRs support better diabetes careFocus on EHR

June 2011

More Info: Better Health Greater Cleveland

51% of diabetes patients got all recommended

care in Cleveland area organizations with an

EMR. This includes A1c tests, kidney tests, eye exams andpneumonia vaccines.

Only 7% of diabetes patients in practices with

paper records got the same level of care.

The study also looked at outcomes related to

A1c, BP, lipids, BMI and smoking.

44% of patients in practices with EMRs achieved

positive outcomes vs. 16% in paper-based

practices.

Editorial. Better Health Greater Cleveland is a member of the Robert

partners with 9 health systems in NE Ohio.

8/4/2019 HIT Trends (June 2011)

8/29Circle Square | HIT Trends | Page 8

Costco offers a hosted Allscripts EMR for $499 per monthFocus on EHR

June 2011

More Info: Costco

Etransmedia, an Allscripts partner, is

providing the service.

The exclusive Costco member offer includes:

practice management

Patient portal

E-prescribing

Unlimited electronic claims

Live remote training

Maintenance, support and hosting

45 day software installation and guarantee

Access to stimulus resources

Software ownership

60 month lease to own contract with

Editorial. A leading EMR with its best partner and a price-conscious retailer set a mainstream buyer price. This is likely an

average market price now-a-days for a hosted or web-based solution. This leaves some room for disrupters underneath to

position at a lower price with differentiating services.

8/4/2019 HIT Trends (June 2011)

9/29Circle Square | HIT Trends | Page 9

Oncology patients want to share EMR data with docsFocus on EHR

June 2011

More Info: ASCO

Study combines a LIVESTRONG survey(n=7,417) with a National Cancer

Institute survey (HINTS).

More than 75% of cancer patients and

survivors want to share their data with

healthcare providers. See table at right.

A similar number want electronic

access.

There is also support for using de-

identified data for research.

Nearly all think privacy is important

and more than 70% want EHRs to

make information sharing with

providers more convenient.

Editorial. The study demonstrates the maturing market between the

2007 HINTS study and the 2010 LIVESTRONG by comparing the two

rightmost columns in the table. It also demonstrates that oncology

patients are significantly more interested in info sharing that the general

public. This represents a market opportunity for provider collaboration

and patient engagement in this population.

8/4/2019 HIT Trends (June 2011)

10/29Circle Square | HIT Trends | Page 10

Physicians are adopting smartphones and tablets much faster than the

general populationFocus on EHR

June 2011

More Info: QuantiaMD

80% of physicians use a mobile device vs. 50% forthe U.S. population.

30% of physicians use tablets compared to 5% of

U.S. consumers.

20% of physicians use tablets in their professional

practice and 35% more say they are likely to do so.Most frequent current use is looking up drug and

treatment reference material. See table at right for mostfrequent uses.

Physicians prefer tablets over smartphones for

patient education and patient records. For all activities

they use both.

Hospitals are beginning to provide devices. 18% saythey got a device from a health organization.

Editorial. QuantiaMD is the largest online and mobile physician collaboration network with 125,000 physician users that

review medical cases and short (5-8 minute) presentations.

Currently use mobile for

professional activities%

Looking up drug & treatment

reference material73%

Learning about new treatments &clinical research 50%

Helping me diagnose patients 44%

Helping me choose treatment

paths for patients43%

Helping me educate patients 33%

Accessing patient information &

records

31%

Making decisions about ordering

labs or imaging tests28%

8/4/2019 HIT Trends (June 2011)

11/29Circle Square | HIT Trends | Page 11

ABILITY Networks announces physician to physician connectionsFocus on HIE

June 2011

More Info: Ability

ABILITY is a health information exchange with

experience connecting providers with Medicare.Physicians use services to improve reimbursement. Health systems

are alerted when the same patient has multiple records. 3,000

hospital customers.

DirectABILITY is a clinical messaging service that

uses a universal health address and Direct Projectstandards for secure exchange.

ABILITY is offering to connect physicians in

Minnesota for free for the first year. The company isbased in Minneapolis. It announced previously it has been certified

as the first Health Data Intermediary for Minnesota.

It plans to invest $50M over 12 months on theproject.

Editorial. ABILITY wants to leverage its provider connectivity into a clinical messaging service. It envisions supporting

physician referrals, lab results reporting, payer info exchange and patient communications. It has been working on Project

Direct connectivity since its outset.

8/4/2019 HIT Trends (June 2011)

12/29Circle Square | HIT Trends | Page 12

Stage 2 meaningful use is delayed for a year and care plans addedGovernment and HIT

June 2011

More Info: Government Health IT

Below are recommendations by the policy

committee; final rules are expected next year.

Providers have through 2013 to meet stage 1

meaningful use requirements.

Stage 2 requirements are delayed until 2014.

Those providers meeting stage 1 requirements this

year, will have an extra year before stage 2 kicks in.

Another recommendation is to add requirements

for patient care plans. These include goals, patientinstructions and care team member names and ability to send the

patient record and care plan electronically.

Editorial. Stage 2 requirements emphasize care collaboration and patient engagement. The care plan is seen as a

foundation for care coordination in medical homes. Making this explicitly part of stage 2 requirements provides

direction to health technology solution providers who also get an extra year to build it or buy it. A delay might

delay in stage 3.

Stage 1

Old Stage 2

New Stage 2

Stage 3

???

2011

2013

2014

2016

2015

2012

J 2011

8/4/2019 HIT Trends (June 2011)

13/29Circle Square | HIT Trends | Page 13

Industry coalition makes 5 recommendations for Stage 1 meaningful

use programGovernment and HIT

June 2011

More Info: AHA

1. Reduce regulatory complexity. Set up a web site as thesingle source of truth for criteria and specs for quality measures.

2. Clarify certification and site certification processes.Providers want to use modules from multiple certified EHRs, but

3. Get

feedback on how stage 1 working. Create an effective appealsprocess. Synchronize the PQRS, IQR and EHR incentive program

criteria. More representation for small practices on advisory

groups.

4. Clarify and improve registration, attestation and

compliance processes. allow summary info on quality be sent directly from EMRs.

5. Evaluate regulatory timeline. Delay stage 2 meaningfuluse by 18 months.

Editorial. This is detailed and constructive feedback on stage 1 meaningful use by the following: American Hospital

Association, American Medical Association, Association of Medical Directors of Information Systems, College of Health

Information Management Executives, Electronic Health Record Association, Federation of American Hospitals, Healthcare

Information and Management Systems Society. Theirs is a presentation attached to the letter. See link lower right.

J 2011

8/4/2019 HIT Trends (June 2011)

14/29Circle Square | HIT Trends | Page 14

popHealth is an open source tool for reporting meaningful useGovernment and HIT

June 2011

More Info: popHealth; Healthcare IT News

Sponsored by ONC; developed by MITRE.

automates quality reporting for stage 1

meaningful use.

EHR solutions implement the service via

continuity of care files. HITSP CCD/C32XML andASTM CCR XML. See diagram upper right.

Or providers can use the popHealth service

directly to create the quality report.

Additionally it provides a provider dashboard,

a patient list by measure, and a measure

definition tool.

eClinicalWorks in NY and a practice in NC

using athenahealth. Others to follow.

Editorial.

a clean user interface. The demands of quality reporting are a huge provider concern, and this is a great step forward.

Provider Dashboard Patient List

Concept of Operations

J ne 2011

8/4/2019 HIT Trends (June 2011)

15/29Circle Square | HIT Trends | Page 15

Feds offer free web service connecting EMRs to MedlinePlus contentGovernment and HIT

June 2011

More Info: MedlinePlus; HHS

Free service links EMRs and patient portals toMedlinePlus content. medlineplus.gov website.

Software solutions can send the following

codes to the service.

Problems in ICD-9-CM or SNOMED CT CORE

Medications in RXCUI or NDC Lab tests in LOINC

Service returns a web page or XML code

specific to the content requested. See example atright.

The service addresses a stage 1 meaningful

use menu requirement for providing patient-specific education resources when

appropriate.

Editorial.

solutions connect to great content on behalf of patients. Content from

adam.com and others are integrated.

Web service response to sending

ICD-9-CM code 493.22 for asthma

MedlinePlus Connect

won the HHSinnovates

Award earlier in 2011.

June 2011

8/4/2019 HIT Trends (June 2011)

16/29Circle Square | HIT Trends | Page 16

CMS to share Medicare data to publicly assess provider performanceGovernment and HIT

June 2011

More Info: Federal Register; CMS

1. CMS to provide Parts A, B,and D Medicare claims to

qualified entities.

2. Data can only be used to

evaluate provider/supplier

performance in public

reports.

3. Data to cover one or more

geographies and fees paid to

cover costs.

4. To qualify an entity needs

claims data from othersources to combine with

Medicare.

Editorial. Healthcare insurers, integrated delivery systems and some healthcare data services companies will benefit from

this service. It is hoped that this can generate more provider transparency in the market and benefit consumers. This idea is

5. Reports are sharedconfidentially with

providers and suppliers to

correct errors prior to

public release.

6. Public data is de-identified

as to patient.

7. Qualified entities

demonstrate access

governance, use and

security of Medicare claims

data.

8. CMS will monitor.

June 2011

8/4/2019 HIT Trends (June 2011)

17/29Circle Square | HIT Trends | Page 17

Senators Daschle and Frist announce a progress report and task force

on HITGovernment and HIT

June 2011

More Info: BPC report; BPC release

Improve coordination in health IT and reform efforts.

Integrate the lessons learned from early efforts.

Use health IT and emerging consumer technologies to

engage consumers in reform efforts.

Two areas of high interest: Small physician practices, and providers for rural and

underserved populations.

Health information exchange that is privacy protected.

Editorial. Janet Marchibroda is Chair of the HIT initiative and authored the report. Daschle and Frist may find a middle way

through the potential politics of reform. This could be a valuable contribution.

Report Recommendations

Task Force

Senators Daschle and Frist co-chair

26 members announced. CEOs of industry associations,business groups, healthcare organizations. Ex-state governors.

Academicians.

June 2011

8/4/2019 HIT Trends (June 2011)

18/29Circle Square | HIT Trends | Page 18

Wearable blood pressure monitor in clinical trialFocus on Care Communications

June 2011

More Info: HP

100 patients are wearing a BP monitor

Seepicture at right. Patients are from Frontier Healthcare in

Singapore. HealthSTATS is a Singapore medical device maker.

Software translates into 24-hour BP and

heartbeat patterns.

Clinical readings are sent wirelessly to aSingTelis a large telecommunications company.

Any anomalies in the data trigger

immediate alerts to health providers.

HP integrates components and provides ahealth portal with physician comments,

patient diaries and clinical graphics.

Editorial. The apparent convenience of this device makes it a potential game-changer for diagnosis and treatment of cardio-

vascular conditions. Real-time data streams with intelligent provider alerts integrated into a clinician dashboard is where this

-

June 2011

8/4/2019 HIT Trends (June 2011)

19/29Circle Square | HIT Trends | Page 19

Review of new technology for aging in placeFocus on Care Communications

June 2011

More Info: Los Angeles Times

Pilots at the Oregon Center for Aging and

Technology.

Bed sensors. Breathing patterns, heart rate and sleepquality.

Door sensors. Detects leaving the house or opening therefrigerator.

Motion sensors. Detect walking style and speed.

Smart pill dispensers. Detect when meds are taken.

Home robot. Video monitors help with communicationsto others.

Games. Redesigned to measure weight and balance.

Other technology in development. Devices that interpret facial expressions to detect

depression.

Robotic pets for interaction.

Tools for Alzheimer's patients to find their way

home.

Editorial.

in place. Oregon Health and Science and Intel are leading

the way.

Celia is a 4-foot robot helping

seniors age in place.

June 2011

8/4/2019 HIT Trends (June 2011)

20/29Circle Square | HIT Trends | Page 20

WHO reports 83% of nations are using mobile health initiativesFocus on Care Communications

June 2011

More Info: WHO

Mobile health (mHealth) report by theWorld Health Organization based on a

survey of 112 countries.

Of the 83% reporting mHealth initiatives,

most reported implementing 4 or more.

Most popular. Health call centres and help lines (59%)

Emergency toll-free telephone lines (55%)

Appointment reminders, compliance, patient

records and patient monitoring are between

30%-40%

There is little evaluation of the results.Only 12% of countries reported evaluations.

Editorial. WHO report includes details of each of the mHealth initiatives

outlined on the right with case studies of many of them. Richer countries

are doing more, but all are increasing projects.

Communication between individuals and

health services

Health call centres and help lines

Emergency toll-free telephone services

Communication between health services and

individuals

Treatment compliance

Appointment reminders

Community mobilization

Awareness raising over health issues

Consultation between health care

professionals

Mobile telemedicine

Intersectoral communication in emergencies

Emergencies

Health monitoring and surveillance

Surveys by mobile phone

Surveillance

Patient monitoring

Access to information for health care

professionals at point of care

Information and decision support systems

Patient records

Types of mHealth Initiatives

June 2011

8/4/2019 HIT Trends (June 2011)

21/29Circle Square | HIT Trends | Page 21

CSC reports that telehealth is supporting health reform globallyFocus on Care Communications

June 2011

More Info: CSC

1. Intensivist coverage. Tele-ICU lets teams manage multiplehospital ICUs. 20% decrease in ICU mortality.

2. In-patient rounding coverage. Remote care robotsenable increased physician productivity.

3. Emergency care services. Tele-ECG for EMTs from thehome or ambulance reduces time to treat.

4. Post-acute care monitoring. Typically home-basedInternet device and central call center. 68% decrease inhospitalizations.

5. Provider collaborations that may include the

patient. Tele-consults deliver lower costs and better outcomes.

6. Non-office visits. Online and video-supported e-visits

increase access and productivity.

7. Patient self-monitoring and support (especially for

chronic conditions). Home-based and mobile solutionsprovide reminders, education and coaching.

8. Aged care monitoring and support. Sensors andcameras complement remote monitoring.

Editorial. CSC provides a useful summary of

telehealth and global health reform efforts.

They recommend pilots that address immediate

problems with plans for scale.

June 2011

8/4/2019 HIT Trends (June 2011)

22/29Circle Square | HIT Trends | Page 22

IBM alerts health device makers to underserved information seekersFocus on Care Communications

Ju e 0

More Info: IBM

Information seekers is a large segment

between the motivated healthy and the

chronically monitored. These want more control overpotential health risks or difficult to manage conditions. See

diagram at right.

Principles for capturing this market.

Make it easy. Simple, intuitive, feature-rich, online tools.

Focus on end result. Integrate with providers, payersand competitors and leverage data analytics.

Pick a position and partner well. Fit into largerecosystem of mobile devices, home-based devices, web

resources and patient health records.

Help set the rules. Drive industry standards forinteroperability.

Likely market dynamics.

Consumer electronics. Stronger branding andconsumer loyalty. Large existing customer base. Weaker

relationships with healthcare organizations and purchasing

environment.

Medical device. Stronger with care providers. Weaker inconsumer understanding and design.

Editorial. This IBM report provides a simple model forunderstanding some of the market dynamics surrounding

consumer mobile health. The big middle market is at stake.

The report outlines principles for market capture that point

to the dual capabilities for both consumer orientation and

B2B market competence. The authors correctly stress the

importance of the ecosystem.

Market segments along the health continuum

June 2011

8/4/2019 HIT Trends (June 2011)

23/29

Circle Square | HIT Trends | Page 23

PwC identifies 4 types of companies likely to thrive in healthcare nowFocus on Care Communications

More Info: PwC

Editorial.

ratings and mobile health. And how health IT is a growing part of U.S. health expenses.

Prospector Focus areas Innovations Examples

Fixers

These work on the broken parts

of the system and improve

processes and reduce costs. They

help traditional healthcare

companies thrive.

Alternative forms of primary care.

Registration kiosks and mobile robots.

Access patient records from multiple

sources.

Artificial Medical Intelligence

uses natural language to

automatically generate ICD-9 or

ICD-10 codes.

Implementers

These leverage industry

knowledge to work across

traditional sectors consistent with

the federal integration plan.

HIT that supports reform changes,monitors payment reform and helps

providers adjust.

Smart phones and other mobile device

apps for patient and provider

communications.

RTKL uses complex simulations of

patient and provider behavior to

design more productive and

safer health environments.

Retailers

These are comfortable with high

volume low cost standardized

products and leverage customer

intimacy into new markets.

24-hour care via online and telephone.

Growth of retail clinics.

Lower consumer prices because of bulk

purchases.

Walgreens offers health and

wellness products, clinic services

including preventive and access

to MDs, PAs, and NPs.

Connectors

These use HIT across the health

system providing analysis and

context for providers and

consumers.

Innovations from big tech companies

and communications companies. Apps

that find providers and track symptoms.

Data mining solutions.

Zibbel uses the iPad to

strengthen the patient-physician

relationship for amputees by

collecting health data and

sharing it.

June 2011

8/4/2019 HIT Trends (June 2011)

24/29

Circle Square | HIT Trends | Page 24

Google Health and Thomson Reuters exit healthcareFocus on Care Communications

More Info: Google; Thomson Reuters

Google Health personal health

record service retires 1/1/2012.

Data available for download

until 1/1/2013.

Printable PDF

Continuity of Care Record

(XML)

Spreadsheet format (CSV)

HTML and XML for data notices

ZIP archive with all the above

Soon, it will support Direct

Project transfer protocols.

Editorial. The common elements

here include the amount of

investment required to keep up inU.S. healthcare markets and how

companies are looking for strong

synergies with other aspects of a

more global market.

Thomson Reuters plans to sell its

healthcare division. Provides data,analytics and performance benchmarking.

2010 revenues of $450M. Profitsconsistent with consolidated at 19.3%.

Leading brands include:

MarketScan

Advantage Suite

Micromedex

CareDiscovery ActionOI

Key reason: Not globally

integrated with non-health

businesses.

June 2011

8/4/2019 HIT Trends (June 2011)

25/29

Circle Square | HIT Trends | Page 25

AMA report profiles insurer mobile appsHealth Plans and HIT

iPhone app, Droid app, mobile

site

Display electronic ID card Access a physician

directory for directions

View past claims

Access eligibility, cost-

sharing requirements for

a given visit

See the balance of ahealth savings account

More Info: AMA

Editorial.

physicians underutilize insurer info about formularies, medication history and gaps. This is another way to help collaboration.

iPhone app, Droid app, mobile

site

Display electronic ID card Access a physician

directory for directions

View coverage and out-

of-pocket totals

See the balance of a

health savings account

Look up drug prices atpharmacies and find

lower cost alternatives

See allergy and weather

information

Buy insurance coverage

Mobile member site and two

apps: DocGPS and Optumize

Me, for iPhone and Droid

operating systems

Display electronic ID card

Access a physician

directory for directions

View coverage and out-

of-pocket totals

View past claims

See the balance of a

health savings account

Look up drug prices at

pharmacies and find

lower cost alternatives

myHumana iPhone app, Droid

app, mobile site

Display electronic ID card Access a physician

directory for directions

View coverage and out-

of-pocket totals

View past claims

See the balance of a

health savings account Look up drug prices at

pharmacies and find

lower cost alternatives

plans see mobile technology as a convenient customer service portal, a cost-cutting tool

and a way to break down the traditional barriers between physician, patient and health plan

June 2011

8/4/2019 HIT Trends (June 2011)

26/29

Circle Square | HIT Trends | Page 26

Humana and Allscripts collaborate on clinical alerts at the point of careHealth Plans and HIT

More Info: Humana

Humana will subsidize adoption of Allscripts EMRs.This for selected physicians.

Humana will deliver clinical info to physicians

directly through the EMR. Humana has been gettingmember clinical data to physicians through an Availity CareProfile on

its portal.

Physicians earn incentives for improved clinicalperformance. This through its Humana Medical Home EHRReward Program.

Measures include:

HEDIS

Generic dispensing rate

Mail-order usage Readmission rate

Health-risk-assessment completion

Editorial. This should be an effective way to deliver the value inherent in insurer clinical claims to physicians. The

incentives are focused on outcomes and some key process measures. By including the EMR in the workflow we

should also be to close the loop on gaps in care.

July 2011

8/4/2019 HIT Trends (June 2011)

27/29

Circle Square | HIT Trends | Page 27

Upcoming EventsEnd Notes

What. Comprehensive line-up oftechnology innovation, latest changes

in health care, and new HIT startups

When. September 25-27, 2011

Where. San Francisco, CA

Price. $1,499 for HIT Trends readers

Register. From this link, fill in yourinfo and select "Pre-agreed special

rate, toreceive your $300 discount.

More info.http://www.health2con.com/conferen

ces/san-francisco-2011/

What. Focused on reaching andsupporting digital health consumers

with a 360 degree view

When. September 20-21, 2011

Where. Philadelphia, PA

Price. $1,495 for HIT Trends readers

Register. From this link, fill in yourinfo and enter to receive

your $300 discount

More info.http://epatient2011.com/

What. Michael Lake presents

in a 1.5 hour Webinar

When. September 2011

Where. NeHC University online

Price. $100

Register. TBA

More info.http://www.nationalehealth.org/

June 2011

8/4/2019 HIT Trends (June 2011)

28/29

Circle Square | HIT Trends | Page 28

CommentaryEndnotes

EMRs in the cloud. There is additional validation that the EMR markethas heated with compound annual growth rates over the next couple of yearspegged at >20%. EMRs delivered over the Internet are a fast growing segment

appealing to small practices

for as low at $499 per physician per month. The AMA clarified one of its ideas

for this Internet EMR market by marrying e-prescribing and registry functions

to meet stage 1 meaningful use. DrFirst is the e-prescribing app. DocSite and

WellCentive are participating registry-oriented EMRs.

EMRs and care coordination. Care plans have become the

foundation for care coordination. This is one of the lessons learned from areport by eHI. Yet it finds that additional EMR functional support is needed.

Oncology patients report they want to collaborate with their physicians. And

we learn that physicians are increasingly using smartphones and tablets in their

offices, mostly to look for information, but also to interact with patients.

Insurers are trying patient mobile apps to help get their messages to physicians

when they are with the patient. And Humana announced it will help fund

Allscripts EMRs if linked to its provider outcomes quality program.

Consultants analyze new markets. CSC reports on the global

telehealth market. Most countries have multiple initiatives using the Internet

and mobile devices to support health reform efforts. IBM notes that a big

growth area is a segment it calls, Information Seekers, the space between the

between the motivated healthy and the chronically monitored. They want

more control over potential health risks or difficult to manage conditions. PwC

identifies a way for large companies to thrive in the current healthcare market.

retail. And yet Google and Thomson Reuters announce their exits.

Pow Wow, Roy Lichtenstein, 1979

More Info: Poul Webb

The Art of HIT

The art is this month speaks to the heated

dialog between providers and rule makers

over the next phases of meaningful use and

health reform. While the Feds released someinteresting tools and delayed stage 2 by a

year, the insurers are taking the lead with

commercial programs and beginning to

engage providers in discussions of

accountable care.

8/4/2019 HIT Trends (June 2011)

29/29

HIT Trends 2011 Circle Square Inc.

Michael LakeSan Francisco, CA

www.circlesquareinc.com

Note: If you would like to receive this report

monthly via direct e-mail, please click this link.