HIE Market Trends 2011
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Transcript of HIE Market Trends 2011
John Moore
April 28, 2011
Managing PartnerChilmark Research
HIE Market Trends:Where We Are TodayWhat We’ll See
Tomorrow
2
• Founded in 2007
• Based in Cambridge, MA
• Chilmark’s Sole Focus is Healthcare IT
• Current Research Areas Include:
• Cloud Computing, Connected Health (biometrics, Clouds, & HIS), Health Information Exchanges (HIEs), mHealth, Platform as a Service (PaaS), Analytics/BI in Healthcare, Patient Engagement Strategies
• Services Offered:• Market Research - Adoption & Technology Trends
• Self-sponsored and client sponsored reports
• Strategic Advice• Market landscape, trends, vendor viability, business plan development,
go-to-market strategies
About Chilmark Research
3
• Billions in Federal Funding• EHR Incentives• Establish State HIEs• Beacon Program & Others
• Healthcare Reform• Bundled Payment Models
(ACO)• Shared risk/reward• Manage transitions in care
• Business Alignment• Align Affiliates to Mothership
Significant, Unprecedented Money Flowing Into Market
4
Attribute Public Enterprise Observations
Messaging & Results Dist. XXX XXX Critical to both entities (incld. results, clinical
notes, meds, alerts, etc.)
Eligibility XXX XXX Simplify & automate process to lower costs
eRx XXX XX Less of concern for enterprise as incentives target single physician
Disease/Care Mgmt XX XXX New payment models (ACO) driving importance
for enterprise
Orders Mgmt X XXX Hospitals/IDNs look to have lab orders placed with them
Referrals Mgmt X XXX Hospitals/IDNs see referrals as key part of retention
EHR XXX XX Public look to engage all, enterprise, just those in IDN
PHR XX XX Low interest today, but will change with Stage 2 MU and future ACO rules
Analytics X XXX Increasing importance for reporting under new payment models
Public Health XXX XX Track community/regional health initiatives, MU requirements will push enterprise HIEs to adopt
Two Distinct Markets: Public & Enterprise
5
• HIMSS’11 Lists 189 HIE Vendors• Service Providers• EHR Vendors• PACS Vendors• Tools Vendors• ISPs• Etc.• Core HIE Vendors
Multitude of Vendors Claiming They Have the HIE Solution for You
6
• Target: Existing Clients
• Walled Garden• Some Exceptions
• Examples:• Allscripts, Cerner, eCW,
Epic, GE, McKesson, NextGen
• Prognosis: • Limited Traction for
Closed Systems• Others Must Prove
Openness
EHR Vendors
7
• Target: Public & Enterprise• Slight Edge to Pubic
• Focus on Services• Software Secondary
• Partner or Acquire
• Play on Customization
• Large Firms Dominate• ACS, AT&T, Dell, Harris,
IBM/PWC, Verizon, etc.
• Prognosis:• Success in Large, Complex
Environments
Service Firms
8
• Target: All Markets• Partner for Large HIEs
• Focus on Software• Services Secondary
• Dominated by Small Firms• Rapidly Consolidating
• Prognosis:• Large Firms Dominate in
18-24 Months• Resources to invest
Core HIE Vendors
9
Looking Ahead: Top Three Trends in HIE
10
• HIEs Move to Higher Order Functions• Beyond Moving
Information• Deliver Services
• Data=>Analytics=>Intelligence• Reporting• Attestation• Operations• Decision Support…
1) Information Exchange Becomes Commodity
11
• HIE Moves to Utility, PaaS Model• Open API Layer• May have SDK• Apps are interchangeable
2) HIEs Become App Platform
H1H1 Ph1Ph1 Ph2Ph2 H2H2
L1L1L2L2
Im1Im1 Im2Im2
Pa1Pa1Pa2Pa2
Rx1Rx1 Rx2Rx2
Utility (PaaS HIE)Utility (PaaS HIE)
Database Layer(labs, images, clinical notes, etc)
Messaging
API Layer (SDK?)
EM
R-1
CD
S-1
CD
S-2
PH
R-2
Ap
p
Ap
p
Qu
ality
Rp
t’n
g
Imag
eV
iew
er
EM
R-2
PH
R-1
HIE Vendors Must Partner Aggressively to Keep Pace with Client Needs
12
• Enterprise Market will Lead• Innovation• Adoption• Growth/Size
• Public Market will Follow• Lightweight• Network of Networks
3) Two Markets, One Leads, One Follows
In Near-term, Tension & Struggle Between These Two Markets
13
• Two Distinct Markets• Different Strategies
• Little Overlap in Operational Structure• Some Overlap in Needs
• No Dominant Vendors• Rapid Consolidation to Select Few
• Most EHR Vendors are Out
• Migration to Services• Exchanges Move Beyond Exchange• Analytics the “Next Big Thing”
• Payers Stepping Up to the Plate
Take-Aways
14
“We are only as good as the information we have delivered at point of decision.”
- Dr. David BlumenthalDirector ONC, April 2010