Winners & Losers in HIT

I was recently asked to predict IT Winners and Losers in 2009. Rather than name individual companies, I’d like to highlight categories.

Winners1.  Electronic Health Record vendors, especially web-based applications – The Obama administration has promised  $50 billion for interoperable EHRs.

Software as a Service providers – SaaS providers offer lower cost of
ownership and faster implementation than traditional software
installation approaches.

3. Open Source – I’m embracing Open
source operating systems, databases, and applications as long as they
can provide the reliability and supportability that I need.

Green IT – Winners will be innovative techniques to adjust power draw,
such as idle drive management, cpu voltage adjustments, and high
efficiency power supplies.

5. Cloud Computing offerings – These
are remote infrastructure utilities such as storage and high
performance computing. Friday’s Cool Technology of the Week will
describe a new technology called Cloud Optimized Storage.


Client Server applications – the cost of deploying, supporting, and
maintaining client server applications is no longer affordable.

2.  Proprietary operating systems – I’m eliminating Solaris, AIX, HP-UX from my data centers. 

High end SAN storage – I find that 90% of my storage needs are met with
lower end SAN, NAS, and appliances which use low cost, high density
drives (SAS and SATA).

4.  Devices that do not offer energy efficient operations.

Applications that require a specific operating system or a specific
browser on the client side. To be successful in 2009, applications
should be operating system neutral, browser neutral, and easily hosted
as a service accessible via the web.

I welcome your thoughts on your own winners and losers for 2009.

John D. Halamka, MD, MS, is CIO of the
CareGroup Health System, CIO and Dean for
Technology at Harvard Medical School, Chairman of the New England
Health Electronic Data Interchange Network (NEHEN), CEO of MA-SHARE, Chair of the US
Healthcare Information Technology Standards Panel (HITSP), and a
practicing emergency physician. He blogs regularly at Life as a Healthcare CEO, where this post first appeared.

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Laura L. Recent comment authors
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Laura L.
Laura L.

As an IT analyst in healthcare, I applaud your list of winners and losers. However, one roadblock to promoting open source, is that open source is only being embraced by IT folks. IT depts see the future value of such systems, however, the users (docs, nurses, ancillary workers) and administration seem to prefer the older established systems that use antiquated platforms (MUMPS for heavens sakes) but have nice, intuitive user interface screens. The IT dept has but one voice when decisions are made about these enterprise-wide systems. Oh, and these systems require client-server deployment too. Our primary goal at our… Read more »