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Migration to HIE 2.0: Report Explores Role of HIEs in Care Coordination and Population Health

CAMBRIDGE, MA — (Marketwired) — 07/30/13 — New care and payment models are compelling healthcare provider organizations to seek heath information exchange (HIE) solutions to help manage shared payment risk and joint responsibility for patient and population outcomes according to Chilmark Research-s newly released . The report describes an evolving market for HIE solutions that mirrors changing conditions for providers. HIE vendors now aim squarely to help address the major new challenges of cross-enterprise care coordination and population health management.

In this third edition, Chilmark Research once again breaks new ground defining HIE 2.0 — a major and necessary evolution in HIE technology. Significant market forces are forcing HIE vendors to support multi-disciplinary, cross-enterprise care teams in support of community-wide, coordinated care delivery. These patient-centric care plans must also meet the population health management needs of provider organizations.

While existing HIEs supply provider-to-provider messages containing subsets of patient medical records, HIE 2.0 will provide richer information and more functionality to support collaboration across venues and fill many of the functional gaps left by unconnected, incompatible and heterogeneous EHRs. “Messaging — Direct or proprietary — is but one element in a provider-s IT interoperability strategy. It has replaced a lot of letters, faxes and phone calls but more complex care coordination applications that really use the longitudinal patient record and shared applications are inevitable” says Brian Murphy, lead analyst of the report. Murphy continues: “HIE 2.0 applications will be knit together by comprehensive notification services that deliver the right information to the right clinician at the right time on the device or in the clinical application of their choice. No vendor is there yet, but several are aggressively moving to HIE 2.0 capabilities, while many others lag behind.”

One somewhat surprising finding in this year-s report is the lack of attention most HIE vendors are paying to provider-payer realignment. This is a missed opportunity as new payment models are forcing providers to become more actuarial. Some providers are partnering with payers, others are acquiring smaller payer organizations and likewise, payers are acquiring providers. Analytics based on HIE-sourced data is still primitive along with nascent efforts to support population health management, clinical quality and public health reporting, all critical needs in this realignment.

The constant change in the vendor landscape continues unabated. According to John Moore, founder of Chilmark Research, “Dabblers like IBM, Microsoft, ACS and Verizon have executed strategic retreats from the HIE market. Companies with great promise like Caradigm have also turned their attention to other opportunities and discontinued their own internal HIE development efforts. The HIE market is only for the skilled and the clinically knowledgeable. Clinical interoperability has never been a cakewalk but the companies featured in our latest report, in spite of their differing strengths and flaws, are in this for patients, care teams and caregivers.”

Copies of the report are available to subscribers to the Chilmark Advisory Service. Inquiries should be addressed to Sean Campbell at

Chilmark Research is the only industry analyst firm focusing solely on the most transformational trends in healthcare IT. We combine proven research methodologies with intelligence and insight to provide cogent analyses of the emerging technologies that have the greatest potential to improve healthcare. We do not shy away from making tough calls, and are respected in the industry for our direct and thoughtful commentary. For more information visit:

Brian Murphy
Lead analyst
HIE Market Trends Report

m) 617-230-0623

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