04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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 PartnerJohn@ChilmarkResearch.com

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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While Consumers Increasingly Go Online for Health Info…

Now One of the Top Activities on the Net

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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Few Manage Health Records on Net

Yes30%

No56%

Don’t Know14%

Paper75%

Web-based11%

Specific App4%Desktop App

10%

Source: Forrester Research Q2’08 Surveyn= 5,242

Today, Meager 3.3% iManage PHI

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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Top 3 Challenges to Adoption

Data Getting it, Cleansing it,

Sharing it Trust

Privacy & Security Provenance

Value Personal Actionable Relevant

Consumer Engagement Begins Here

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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?

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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“Convergence”Personal, Actionable, Connected

Value: About Me, By Me, With Me, For Me

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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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

04/11/23 Copyright: Chilmark ResearchFor internal use only, not for distribution

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The First Wealth is Health

- Ralph Waldo Emerson