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August 5, 2009...3:33 pm
Microsoft Vaults Ahead into the Personal Health Information Space
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 I am out at the Eli Lilly Health 2.0 Summit and just finished a
presentation by Microsoft Health Services team. It was an interesting
presentation, if but for nothing else to show their worldwide
commitment to health. It reminded me of the June Health Vault Summit I
attended where I wrote but forgot to post a summary from the meeting.

I am flying home from the HealthVault Connected Care Conference in
Seattle. I left with two big takeaways which will be addressed in two
separate posts. It was a great trip, in fact refreshing in many ways,
coming on the heels of a wonderful but intellectually strenuous series
of meetings for the X PRIZE. In fact, I have never been to Seattle
when it was so beautiful – perfectly warm and sunny days with
intermittent cumulus clouds and light breezes whose temperature was
nearly imperceptible. My favorite evening in town was spent watching
sailboats glide effortlessly around the Sound in the fading sunlight
of a perfect day. Magic.
Perhaps the setting got me in a good mood, but I walked away very
clearly impressed with what Microsoft is attempting to do with their
health care strategy. I have to be clear – as an ardent and passionate
open source advocate (recovering zealot) – I was very ambivalent about
stepping clearly into and over “enemy” lines during my sojourn in
Redmond. I was quickly put at ease by the West Coast flavor of the
meeting (ie, casual business dress with a young-ish crowd, high energy
music, and overall good karma) and the impressive lineup of speakers
and attendees. Furthermore, this was the first time I was actually
able to figure out what the heck HealthVault really is and how all
these various partnerships I keep reading about even begin to make
sense.

Let me explain.
The big debate in the media has been positioned as a HealthVault
versus Google for domination in the PHR space. In fact, I have written
about this contest as a no contest as it so clearly favors Google. The
Google I know and love is fast evolving, agile, and no-nonsense
developer of web-based tools that make my life easier. In fact, they
have become my personal computing platform of choice (Gmail, Calendar,
documents, chat, video, etc). This contrasts starkly to Microsoft’s
traditional proprietary platform lock in approach. I figured that
their approach to health management would be the same.

Actually, 18 months later, I was surprised when I peeled back the
onion. From my perspective, HealthVault has chosen to address one of
the thorniest issues in healthcare by taking on the hard job of trying
to integrate the personal health information mess that exists for
consumers (affectionately called the “Healthcare Hairball” by Esther
Dyson). Essentially, HealthVault can be considered a “translational”
database – what I mean by that is it takes variable health care
information inputs (from devices, EMR’s, labs, images, documents) and
then stashes them away in your health “vault”. This information is
then available to be retrieved and accessed (or translated) by a
variety of “viewers” or output tools suited to the individuals needs
and wants.
So, if you are willing to conform to HealthVault’s database standards,
you can become a contributor to an individuals lifetime record;
conversely, if you are willing to subscribe to HealthVault’s UI rules,
you can then retrieve any information that is stored in the same
database. As such, HealthVault becomes this centralized repository for
all information and the source from which information can populate
innumerable other applications. Given Microsofts vast resources, and
their strong commitment to developing out the their health care
business, they become a safe bet to invest time and resources for the
storing and translation of personal health care information to and
from nearly any device. As a result, a very robust community of data
and device partners have begun to aggregate around the platform.

This obviously plays well into Microsofts strategy wherein they can
give away HealthVault for free to consumers (who aren’t going to pay
for this anyway) in an effort to bring other Microsoft products and
partners to the consumer who has invested in the platform. I was able
to see this in Amalgam, which functions as a sophisticated HealthVault
of sorts for hosptials and large health care organizations in managing
their disparate data sources, types, and translation needs. It also
plays well into a platform / widget strategy which has far reaching
potential. I got to see this in some private demonstrations regarding
their new BING search engine (since HealthVault literally knows your
health profile, they are able to contextualize search in an
unbelievably personal way). The possibilities for the community of
data and device companies as well as new and interesting widgets of
functionality to grow seems palpable based on current progress and
projected growth.
So kudos to Peter Neupert and crew for the progress to date. I was
impressed.

But I was also puzzled at the same time – Where (on earth ) Is Google
Health?
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