Presentation used for eHI webcast on May 27, 2009. Webcast focused on Consumer Role in Healthcare IT, Post Stimulus. Purpose was to articulate what/how consumer may benefit from clinician adoption of EHRs.

1. Consumer/Patient Role
Post Stimulus
or
“Now What Did I Pay For?”
- Joe the Plumber
By: John Moore, Managing Partner
John@ChilmarkResearch.com
5/27/09 Copyright: Chilmark Research 1
For internal use only, not for distribution

2. 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 2
For internal use only, not for distribution

3. Three Take-Aways
Consumer Macro
Trends
Stimulus & the
Consumer
Consumer Demands
& Needs Post
Stimulus
5/27/09 Copyright: Chilmark Research 3
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4. Macro Trends: Consumer Healthcare
Financial Costs Healthcare Begins
Falling on with Search
Consumers Top 4 Activity Across
Demographics
HDHPs More than
Tripled in 4yrs Escalating Information Wisdom of Crowds
Share Experiences,
Small Businesses
Discontinuing
Costs Access Lessons Learned
Coverage “Expert” Content
Largest Contributor No Longer Clinician
to Personal Only
Bankruptcy Filings
Care
Fragmentation
Disintermediation of Care
Retail, Corp. Clinic, Med Tourism, Online/Virtual
5/27/09 Copyright: Chilmark Research 4
For internal use only, not for distribution

5. Consumer Engagement Still Low
Meager 3.3% Use an
iPHR
Greatest use among
chronically ill & mothers
w/ children
PHR Use Concentrated
in Provider-based
PHRs
Trust, Data, Value
Tethered, little
consumer control
Will EHR Adoption Drive
Deeper Engagement?
5/27/09 Copyright: Chilmark Research 5
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6. Stimulus Funding Focus is Clinicians
Over $36B for EMR
Adoption
Create Digital PHI
Minimum $300M for HIEs
Aggregate Digital PHI
Consumers’ Post- Stimulus Value
Rests with Meaningful Use
5/27/09 Copyright: Chilmark Research 6
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7. 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 7
For internal use only, not for distribution

8. Making Meaningful Use Meaningful
eRx
“Let me request that refill online and pick it up on
way 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 8
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9. Consumer Role Post-Stimulus
Digital Records & Control
Liquid Data/PHI Create Demand for PHRs
Data is crux of PHR & clinical data gold standard
Quality Data
Drive Engagement Decisions
Increasing Demand for Pricing Data
Quality+Pricing=Value
Personalization
Turning 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 9
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10. “Convergence” Consumer in Control
Personal, Actionable, Connected
Value: About Me, By Me, With Me, For Me
5/27/09 Copyright: Chilmark Research 10
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11. 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
5/27/09 Copyright: Chilmark Research 11
For internal use only, not for distribution