HIT Trends (June 2011)

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HIT Trends
June 2011
H E A L T H I N F O R M A T I O N T E C H N O L O G Y
Contents
June 2011
Focus on E-prescribing
AHRQ literature review of medication management and
HIT reports benefits in 5 areas
Focus on EHR
EMR market forecast at $6B in 2015
AMA releases an interactive tool to help members set HIT
priorities
P l LM8
coordination
EMRs support better diabetes care
Costco offers a hosted Allscripts EMR for $499 per month
Oncology patients want to share EMR data with docs
Physicians are adopting smartphones and tablets much
faster than the general population
Focus on HIE
ABILITY Networks announces physician to physician
connections
Government and HIT
Stage 2 meaningful use is delayed for a year and care
plans added
Industry coalition makes 5 recommendations for Stage 1
meaningful use program
popHealth is an open source tool for reporting
meaningful use
Feds offer free web service connecting EMRs to
MedlinePlus content
Government and HIT (continued)
CMS to share Medicare data to publicly assess provider
performance
Senators Daschle and Frist announce a progress report
and task force on HIT
Focus on Care Communications
Wearable blood pressure monitor in clinical trial
Review of new technology for aging in place
WHO reports 83% of nations are using mobile health
initiatives
CSC reports that telehealth is supporting health reform
globally
IBM alerts health device makers to underserved
information seekers
PwC identifies 4 types of companies likely to thrive in
healthcare now
Google Health and Thomson Reuters exit healthcare
Health Plans and HIT
AMA report profiles insurer mobile apps
Humana and Allscripts collaborate on clinical alerts at
the point of care
End Notes
Events: Health 2.0, E-patient Connections, NeHC
University HIT Trends Webinar
Art of HIT: Pow Wow, Roy Lichtenstein, 1979
Notes on
document
navigation
Click to go to a
section or to return
to the contents page.
Original sources are
linked in the lower
right corner of each
page. Click the grey
underlined text.
i
AHRQ literature review of medication management and HIT reports
benefits in 5 areas
Focus on E-prescribing
June 2011
More Info: AHRQ
1. Process changes. Changes in the prescribing process are associated with
decision 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 cited
results 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 to
HIT. 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.
EMR market forecast at $6B in 2015
Focus 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) of 18.1%
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.
AMA releases an interactive tool to help members set HIT priorities
Focus on EHR
June 2011
More Info: AMAGINE; AMA
Health IT Index interacts with practices about
health IT priorities and compares them with
others.
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.
f DocSite Registry and DrFirst Rcopia-MU
f 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
P l LM8
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 Records
Enable Care Coordination
EMRs support better diabetes care
Focus 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 and
pneumonia 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
W ! l A l C l
partners with 9 health systems in NE Ohio.
Costco offers a hosted Allscripts EMR for $499 per month
Focus on EHR
June 2011
More Info: Costco
Etransmedia, an Allscripts partner, is
providing the service.
The exclusive Costco member offer includes:
f A MW LM8
practice management
f Patient portal
f E-prescribing
f Unlimited electronic claims
f Live remote training
f Maintenance, support and hosting
f 45 day software installation and guarantee
f Access to stimulus resources
f 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.
Oncology patients want to share EMR data with docs
Focus 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.
Physicians are adopting smartphones and tablets much faster than the
general population
Focus on EHR
June 2011
More Info: QuantiaMD
80% of physicians use a mobile device vs. 50% for
the 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 most
frequent 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% say
they 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 material
73%
Learning about new treatments &
clinical research
50%
Helping me diagnose patients 44%
Helping me choose treatment
paths for patients
43%
Helping me educate patients 33%
Accessing patient information &
records
31%
Making decisions about ordering
labs or imaging tests
28%
ABILITY Networks announces physician to physician connections
Focus 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 Project
standards for secure exchange.
ABILITY is offering to connect physicians in
Minnesota for free for the first year. The company is
based 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 the
project.
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.
Stage 2 meaningful use is delayed for a year and care plans added
Government 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, patient
instructions 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
1
delay in stage 3.
Stage 1
Old Stage 2
New Stage 2
Stage 3
???
2011
2013
2014
2016
2015
2012
Industry coalition makes 5 recommendations for Stage 1 meaningful
use program
Government and HIT
June 2011
More Info: AHA
1. Reduce regulatory complexity. Set up a web site as the
single 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. A Mu Get
feedback on how stage 1 working. Create an effective appeals
process. 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. l n
allow summary info on quality be sent directly from EMRs.
5. Evaluate regulatory timeline. Delay stage 2 meaningful
use 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.
popHealth is an open source tool for reporting meaningful use
Government and HIT
June 2011
More Info: popHealth; Healthcare IT News
Sponsored by ONC; developed by MITRE.
l
automates quality reporting for stage 1
meaningful use.
EHR solutions implement the service via
continuity of care files. HITSP CCD/C32XML and
ASTM 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.
l
eClinicalWorks in NY and a practice in NC
using athenahealth. Others to follow.
Editorial. 1 l
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
Feds offer free web service connecting EMRs to MedlinePlus content
Government and HIT
June 2011
More Info: MedlinePlus; HHS
Free service links EMRs and patient portals to
MedlinePlus content. n L M
medlineplus.gov website.
Software solutions can send the following
codes to the service.
f Problems in ICD-9-CM or SNOMED CT CORE
f Medications in RXCUI or NDC
f Lab tests in LOINC
Service returns a web page or XML code
specific to the content requested. See example at
right.
The service addresses a stage 1 meaningful
use menu requirement for providing patient-
specific education resources when
appropriate.
Editorial. P LM8
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.
CMS to share Medicare data to publicly assess provider performance
Government 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 other
sources 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
1 C1C PPS
5. Reports are shared
confidentially 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.
Senators Daschle and Frist announce a progress report and task force
on HIT
Government 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:
f Small physician practices, and providers for rural and
underserved populations.
f 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.
Wearable blood pressure monitor in clinical trial
June 2011
More Info: HP
100 patients are wearing a BP monitor
PS1A1S See
picture 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 a
S1 SingTel
is a large telecommunications company.
Any anomalies in the data trigger
immediate alerts to health providers.
HP integrates components and provides a
health 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
1 -
Review of new technology for aging in place
June 2011
More Info: Los Angeles Times
Pilots at the Oregon Center for Aging and
Technology.
Bed sensors. Breathing patterns, heart rate and sleep
quality.
Door sensors. Detects leaving the house or opening the
refrigerator.
Motion sensors. Detect walking style and speed.
Smart pill dispensers. Detect when meds are taken.
Home robot. Video monitors help with communications
to others.
Games. Redesigned to measure weight and balance.
Other technology in development.
f Devices that interpret facial expressions to detect
depression.
f Robotic pets for interaction.
f Tools for Alzheimer's patients to find their way
home.

Editorial. C
in place. Oregon Health and Science and Intel are leading
the way.
Celia is a 4-foot robot helping
seniors age in place.
WHO reports 83% of nations are using mobile health initiatives
June 2011
More Info: WHO
Mobile health (mHealth) report by the
World Health Organization based on a
survey of 112 countries.
Of the 83% reporting mHealth initiatives,
most reported implementing 4 or more.
Most popular.
f Health call centres and help lines (59%)
f Emergency toll-free telephone lines (55%)
f 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
CSC reports that telehealth is supporting health reform globally
June 2011
More Info: CSC
1. Intensivist coverage. Tele-ICU lets teams manage multiple
hospital ICUs. 20% decrease in ICU mortality.
2. In-patient rounding coverage. Remote care robots
enable increased physician productivity.
3. Emergency care services. Tele-ECG for EMTs from the
home or ambulance reduces time to treat.
4. Post-acute care monitoring. Typically home-based
Internet device and central call center. 68% decrease in
hospitalizations.
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 solutions
provide reminders, education and coaching.
8. Aged care monitoring and support. Sensors and
cameras 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.
IBM alerts health device makers to underserved information seekers
June 2011
More Info: IBM
Information seekers is a large segment
between the motivated healthy and the
chronically monitored. These want more control over
potential 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, payers
and competitors and leverage data analytics.
Pick a position and partner well. Fit into larger
ecosystem of mobile devices, home-based devices, web
resources and patient health records.
Help set the rules. Drive industry standards for
interoperability.
Likely market dynamics.
Consumer electronics. Stronger branding and
consumer loyalty. Large existing customer base. Weaker
relationships with healthcare organizations and purchasing
environment.
Medical device. Stronger with care providers. Weaker in
consumer understanding and design.
Editorial. This IBM report provides a simple model for
understanding 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
PwC identifies 4 types of companies likely to thrive in healthcare now
June 2011
More Info: PwC
Editorial. C 1 P
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.
D
Google Health and Thomson Reuters exit healthcare
June 2011
More Info: Google; Thomson Reuters
Google Health personal health
record service retires 1/1/2012.
Data available for download
until 1/1/2013.
f Printable PDF
f Continuity of Care Record
(XML)
f Spreadsheet format (CSV)
f HTML and XML for data notices
f ZIP archive with all the above
Soon, it will support Direct
Project transfer protocols.
k u

Editorial. The common elements
here include the amount of
investment required to keep up in
U.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. Profits
consistent with consolidated at 19.3%.
Leading brands include:
f MarketScan
f Advantage Suite
f Micromedex
f CareDiscovery
f ActionOI
Key reason: Not globally
integrated with non-health
businesses.

AMA report profiles insurer mobile apps
iPhone app, Droid app, mobile
site
f Display electronic ID card
f Access a physician
directory for directions
f View past claims
f Access eligibility, cost-
sharing requirements for
a given visit
f See the balance of a
health savings account
June 2011
More Info: AMA
Editorial. 1 W
physicians underutilize insurer info about formularies, medication history and gaps. This is another way to help collaboration.
iPhone app, Droid app, mobile
site
f View coverage and out-
of-pocket totals
f Look up drug prices at
pharmacies and find
lower cost alternatives
f See allergy and weather
information
f Buy insurance coverage
Mobile member site and two
apps: DocGPS and Optumize
Me, for iPhone and Droid
operating systems
of-pocket totals
f View past claims
pharmacies and find
myHumana iPhone app, Droid
app, mobile site
of-pocket totals
f View past claims
pharmacies and find
P 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
Humana and Allscripts collaborate on clinical alerts at the point of care
June 2011
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 getting
member clinical data to physicians through an Availity CareProfile on
its portal.
Physicians earn incentives for improved clinical
performance. This through its Humana Medical Home EHR
Reward Program.
Measures include:
f HEDIS
f Generic dispensing rate
f Mail-order usage
f Readmission rate
f 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.
Upcoming Events
End Notes
What. Comprehensive line-up of
technology 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 your
info and select "Pre-agreed special
rate, ,/dd to
receive your $300 discount.
More info.
http://www.health2con.com/conferen
ces/san-francisco-2011/
July 2011
What. Focused on reaching and
supporting 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 your
info and enter to receive
your $300 discount
More info.
http://epatient2011.com/

What. Michael Lake presents
Pl1 1 M u
in a 1.5 hour Webinar
When. September 2011
Where. NeHC University online
Price. $100
Register. TBA
More info.
http://www.nationalehealth.org/

Commentary
Endnotes
EMRs in the cloud. There is additional validation that the EMR market
has heated with compound annual growth rates over the next couple of years
pegged at >20%. EMRs delivered over the Internet are a fast growing segment
appealing to small practices A MW LM8 C
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 a
report 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.
1
retail. And yet Google and Thomson Reuters announce their exits.

Pow Wow, Roy Lichtenstein, 1979
June 2011
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 some
interesting 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.
HIT Trends 2011 Circle Square Inc.

Michael Lake
San Francisco, CA
www.circlesquareinc.com
Note: If you would like to receive this report
monthly via direct e-mail, please click this link.

HIT Trends (June 2011)

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