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If you like aluminum as much as you like Android, AT & T and Acer and the FCC has good news for you: the liquid metal s120 has just been confirmed as play nice with GSM/EDGE 850/1900 and WCDMA band II and V - the count in the audience will notice that makes it a worthy of the AT & t.
We do not yet a complete list of specifications to accompany the s120, but we know there a 3 6″ 800 × 480 screen, Qualcomm MSM7230-1 800 MHz processor (the same as in the T-mobile G2) and the usual WiFi b/g/n, Bluetooth, and GPS 3.0.
The phone is expected to launch at the end of October, United Kingdom but no date u.s. was spotted immediately, but should not be far.
[via Engadget]
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Yesterday in New Orleans, SureScripts announced a new line of business: Clinical Interoperability. Leveraging their existing ePrescribing solution platform, currently serving over 200K physicians nationwide, and combining it with the technology stack of messaging solution provider Kryptiq, SureScripts will offer providers, EHR vendors, HIEs and other stakeholders the opportunity to securely share clinical information across town, the state, a region and the country. In this combination, SureScripts will provide the rails and Kryptiq will address the last mile of connectivity.?This announcement has some pretty big implications for the HIE market. ?Chilmark was briefed prior to this announcement by both SureScripts and Kryptiq, following is what we learned.
Details:
SureScripts primary focus has been to provide the network that would support physicians transition to ePrescribing. Therefore, SureScripts has been focused on transmitting NDP data and not clinical notes. SureScripts got into the transmission of clinical summaries from one of its larger customers, MinuteClinic wanted to send clinical summaries of patient visits directly to primary care providers. In the past year SureScripts has facilitated the movement of over 0ne million patient summaries for MinuteClinic to primary care physicians using CCR. Seeing an opportunity, SureScripts sought a partner that could take this capability to the next level.
Kryptiq, a company profiled in Chilmark’s forthcoming HIE Market Trends Report due out next month, can be characterized as vendor of HIE capabilities that allow for the organic growth of an HIE without the overhead.?Kryptiq has worked behind the scenes for a number of EHR companies to provide secure, structured messaging services within these EHRss ecosystems of customers connecting them to one another as well as to other systems, including SureScripts to facilitate care coordination.
SureScripts has made an equity investment in Kryptiq?(undisclosed but likely in the range $7-9M over the next few years) to build-out Kryptiq’s technology stack for SureScripts. The Clinical Interoperability solution will combine SureScripts foundational technology (provider directory, security, authentication, master patient index, etc.) with Kryptiq’s connectivity toolset (interface technology to various EHRs), secure messaging framework and clinical portal.
SureScripts will release the first wave of Clinical Interoperability products in early December. Pricing will be subscription-based (monthly) and depend on the level of service a given practice desires.
Implications:
SureScripts is the closest thing the US has to a de facto National Health Information Network (NHIN). With the rapid growth in ePrescribing (181% in 2009) representing over 600M prescriptions and now over 200K physicians connected to SureScripts, SureScripts has a network in place, particularly in the ambulatory sector, that few if any can boast of. Sure, Epic has its walled garden of Epic Everywhere and its future release of Epic Elsewhere will attempt to connect physicians using other EHRs, but the walled garden has not proven itself to be sustainable over time. Just look at AOL’s walled garden: fine in the early days of the Internet but was simply unable to innovate fast enough to satisfy market needs and wants.
As an EHR vendor neutral platform that actually puts EHR vendors through a rigorous process to provide them with SureScripts certification, SureScripts is not a threat. If anything, and this is highly dependent on what SureScripts may do in expanding its Clinical Interoperability product and services suite, SureScripts may provide a common foundational and commercial NHIN framework that will allow others, including EHR vendors to provide innovative solutions upon. This may lead to a Platform as a Service (PaaS) model facilitating the adoption of distinct modules that sit upon the SureScripts/Kryptiq communication network.
While both SureScripts and Kryptiq stated that they did not see themselves competing directly with HIE vendors, Chilmark sees quite the opposite. Through its ePrescribing services, SureScripts already has established data connections and relationships with a number of EHR vendors. Kryptiq, through its services, has the technology that provides the interfaces to a wide range of EHRs, many of them in the ambulatory sector where SureScripts is also strong. The combined SureScripts-Kryptiq solution suite will impact many an HIE vendor’s bottom-line for these HIE vendors generate a significant portion of revenue on EHR interfaces and their portal solutions. The SureScripts announcement is likely generating a significant number of internal meetings among HIE vendors as they assess what their game plan will be moving forward. If they are wise, they will seek out SureScripts and look at opportunities to collaborate, offering distinct value-added services on the SureScripts network.
While Chilmark was briefed prior to this announcement by both SureScripts and Kryptiq the briefing was short and details few. A more in-depth briefing will occur in the next week or two, including a deep dive into the technology stack. We’ll keep you posted.
John Moore is an IT Analyst at Chilmark Research, where this post was first published.
October 26, 2010 in EHR, HIEs, John Moore, NHIN | Permalink
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John Smith of Chicago (not his real name)?asked the following question in a recent?letter to a local newspaper:
“Over the last several years my annual deductible has increased from $500 to $2000…With higher rates, I have had to limit key diagnostic services that my physician recommended at my physical.? Does health reform cap deductibles…?”?
The?paper's response mentioned that many preventive services are covered under the new law and mentioned something about risk pools – a decent enough answer I suppose.? Here is what I would have written:
Dear Mr. Smith,
I understand that you are upset.? No one wants to spend money on something when someone else has been buying it for them.? Healthcare is no exception, and over the years we have gotten use to having our health insurance company buy everything our doctors ordered.? The upside of generous health insurance coverage is that we are better able to avoid the risk of financial ruin.? The downside is that we sometimes agree to receive medical services that we might not need.? The latter is really true – the research evidence is overwhelming – and this has contributed mightily to the cost crisis you have been reading about.
I am sure you will tell me that you really need the diagnostic services ordered by your physician.? Then you should find a way to pay for them.??I understand that these services can cost hundreds of dollars, but I would imagine that there are other things in your life that are equally costly – car payments, vacations, new clothing, and so forth. ?Don’t you give equal or higher priority to your health?? If so,?then perhaps by next year you will set aside the extra money you will will need?for these tests.?? If not, then how can you say that you really need them?? If you are unwilling to pay several hundred dollars for medical tests, then you must not hold your life dearly.? Why then should others pay for you?
I know that I sound excessively harsh, and if your financial situation is such that purchasing these services will push you over the financial brink, I apologize.? You are in a?rough situation for sure.? But consider that if your employer offered a more generous health plan, the premiums would have been thousands of dollars higher.? Think of how this would have affected your job situation.? Many employers, perhaps?most,?have to hold the line on wages when health insurance costs increase,?so you may well have seen a substantial wage cut.? If your employer could not reduce wages, then your very job might have been threatened.? I doubt you would have preferred either of these outcomes to the present situation. ?The real problem isn’t that your deductibles increased; the problem is that healthcare is so darn expensive.
All of this rational economic analysis may leave you cold, and I understand that you cannot possible like the present situation.? There are alternatives that you might prefer.? Under a government-run system, you wouldn’t have to pay for many diagnostic services.? But to keep costs under control, the list of free services would be chosen by the government, not your doctor.? The new health law moves us in that direction and many Americans like the new direction we are taking.? Others would prefer to let market forces work to control costs.? Part of that solution would require us to face more of the financial consequences of our healthcare decisions while still having protection against financial ruin.
There is no going back to the old days.? Pick your poison.
Sincerely,
David Dranove
David Dranove is the Walter McNerney Distinguished Professor of Health Industry Management at Northwestern University's Kellogg Graduate School of Management, where he is also Professor of Management and Strategy and Director of the Health Enterprise Management Program. He has published over 80 research articles and book chapters and written five books, including "The Economic Evolution of American Healthcare and Code Red". He has a Ph.D. in Economics from Stanford University.
October 25, 2010 in David Dranove, Health care costs | Permalink
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