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Archive for the ‘Privacy’ Category

(Note: This is the second of a two-part post.) Keeping it Local This is most representative of the status quo and the most realistic path forward for the vast majority of payers who typically operate at the local level. In this scenario, one or more health plans in a regional market partner with other community [...]

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Chilmark Research tends to shy away from the thorny, nearly intractable issues of privacy and security of Personal Health Information (PHI) (we’ll leave that to the lawyers and policy wonks to figure out). However one thing is very clear: As we continue to conduct more and more of our daily activities, both business and personal, [...]

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Since its start in 2007, Chilmark Research has kept a fairly low profile as analyst firms go, focusing on a few discrete domains of healthcare IT (HIT). First there was patient and consumer engagement that led to the publication of our first report on Personal Health Records (PHRs). That first research effort led to a [...]

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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 a hospitalist at BIDMC. Dr. Feldman discussed BIDMC’s platform-agnostic mobile strategy, whereby clinicians access all [...]

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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 three to get you started are: 1) ONC Chief, David Blumenthal’s article in the New [...]

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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 opt-in process, others an opt-out.  Granularity of data shared, use cases for data sharing, etc. [...]

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On Saturday, Jan. 10th, I’ll be moderating a panel at the Consumer Electronics Show’s (CES) Digital Health Summit. The distinguished panel that includes executives from Dossia, Kaiser-Permenante, Microsoft and Walgreens will address the topic: Who Will you Trust with Your Health Data? In preparation, I have been doing some research on the subject and following [...]

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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 the CMS rule making process is the requirement allowing citizens to receive their personal health [...]

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A couple of weeks ago Chilmark Research did a small piece on the need for HIE vendors to move beyond silo’d standalone exchanges to a Platform as a Service (PaaS) model.  In the write-up, the HIE vendor Axolotl was mentioned for their recent announcement of a third party image viewing app that was now available [...]

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Chilmark has not been a big fan of the National Health Information Network (NHIN) concept. It was, and in large part still is, a top heavy federal government effort to create a nationwide infrastructure to facilitate the exchange of clinical information. A high, lofty and admirable goal, but one that is far too in front [...]

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