eHI May09
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Transcript of eHI May09
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution1
Consumer/Patient Role
Post Stimulus
or
“Now What Did I Pay For?”
- Joe the Plumber
By: John Moore, Managing Partner
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution2
Chilmark Research
Healthcare Analyst Firm
Founded in 2007
Based in Harvard Square, Cambridge MA
Focus on Consumer-facing Technology
Software (e.g.,PHRs), mHealth, Biometrics &Health Clouds
Services Include
Market Research
Strategic Analysis & Guidance
More Info @: www.ChilmarkResearch.com
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution3
Three Take-Aways
Consumer MacroTrends
Stimulus & theConsumer
Consumer Demands& Needs PostStimulus
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution4
Macro Trends: Consumer Healthcare
EscalatingCosts
InformationAccess
CareFragmentation
Healthcare Beginswith Search
Top 4 Activity AcrossDemographics
Wisdom of CrowdsShare Experiences,Lessons Learned
“Expert” ContentNo Longer ClinicianOnly
Disintermediation of CareRetail, Corp. Clinic, Med Tourism, Online/Virtual
Financial CostsFalling onConsumers
HDHPs More thanTripled in 4yrs
Small BusinessesDiscontinuingCoverage
Largest Contributorto PersonalBankruptcy Filings
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution5
Consumer Engagement Still Low
Meager 3.3% Use aniPHR
Greatest use amongchronically ill & mothersw/ children
PHR Use Concentratedin Provider-basedPHRs
Trust, Data, Value
Tethered, littleconsumer control
Will EHR Adoption Drive Deeper Engagement?
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution6
Stimulus Funding Focus is Clinicians
Over $36B for EMRAdoption
Create Digital PHI
Minimum $300M for HIEs
Aggregate Digital PHI
Consumers’ Post- Stimulus Value Rests with Meaningful Use
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution7
Meaningful Use in Three Parts
eRx
Electronic Prescribing
Quality Reporting
Collect & Submit Quality Metrics
Metrics, TBD
Information Exchange
Exchange Records to Facilitate Care Coordination
How & with whom TBD
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution8
Making Meaningful Use Meaningful
eRx“Let me request that refill online and pick it up onway home from work.”
Physician-enabled eCommunication
Quality Reporting“Just how good is the hospital I use?”
Need Public Reporting - Ease of Comparison
Information Exchange“Let’s coordinate care together.” Patient-Physician
Tools to Facilitate
Portability of Records (PHI)
Go mobile, biometrics, communication
Effective, Efficient Consumer-Centric Care
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution9
Consumer Role Post-Stimulus
Digital Records & ControlLiquid Data/PHI Create Demand for PHRs
Data is crux of PHR & clinical data gold standard
Quality DataDrive Engagement Decisions
Increasing Demand for Pricing Data
Quality+Pricing=Value
PersonalizationTurning Data into Guidance & Action for Health,Wellness, Prevention
Risk factors, family history, genetics, PHI
Consumers will Seek Out “Digital Practice”
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution10
“Convergence” Consumer in ControlPersonal, Actionable, Connected
Value: About Me, By Me, With Me, For Me
5/27/09 Copyright: Chilmark Research
For internal use only, not for distribution11
Final Thoughts…
Relinquishing Control
Who Owns & Controls the Data?
HIPAA Insufficient
Denial of Coverage is the Issue
HIT Stimulus May be Wet Cement
Aggressive Schedule
Incentives Focus on Technology, Not Behaviors
Difficult to Chip-out Later