Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:855
Posts / Week:2.6
Archived Since:April 6, 2010

Blog Post Archive

An EHR implementation of The Checklist Manifesto

Boston Physician Atul Gawande wrote The Checklist Manifesto in 2009 stressing that medicine should adopt “pilot’s checklists” to ensure that operating room teams are “ready for takeoff” before a scapel is ever opened.BIDMC implemented...Show More Summary

Unity Farm Journal - Fourth Week of June 2016

Unity Farm is now an organic certified producer of vegetables, herbs, mushrooms, nuts, fruits and seedlings! Here’s our official designation As I mentioned last week, I’m now doing increased documentation - daily logs of compost temperature...Show More Summary

Why Apple HealthKit in iOS 10 Makes View/Download/Transmit Real

Meaningful Use Stage 2 has a requirement that I’ve always considered to be the “cart before the horse” - patients must be able to View/Download/Transmit their data. Viewing is great - we’ve done at that at BIDMC since 1999 for all patients and all data. Show More Summary

Unity Farm Journal - Third Week of June 2016

The baby geese are now old enough to free range with their parents, so they are wandering through the forest and barnyard from 7am to 7pm, occassionally stopping for a pool party in the pond. We believe we have two male and one female young geese, bringing our total to 3 males and 4 females. Show More Summary

Why I Disagree with the Snake Oil Analogy

Earlier this week, the American Medical Association CEO called digital healthcare products modern-day "snake oil"As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today.Paul B. Show More Summary

Unity Farm Journal - Second Week of June 2016

This week we completed our organic inspection, which was very much like a Joint Commission visit. The “commissioners” arrived for a suprise inspection on a Monday morning. They covered hundreds of criteria from water purity to seed use to composting techniques. Show More Summary

A Time of Uncertainty

The upcoming presidential election has everyone spooked - what if Donald Trump is actually elected? What will the transition of administrations, regardless of who is elected mean to healthcare and existing healthcare IT regulations?Show More Summary

Unity Farm Journal - First Week of June 2016

My daughter's post wedding bliss was followed by the newlyweds move out of Tufts (Medford, MA) and a move into a new apartment in Brookline, MA. My son in law will be attending graduate school in the Longwood Medical Area. Over the past few years, I’ve worked on many moves - parental moves, our own moves, and now my daughter’s move. Show More Summary

Making a Difference

When my father died 3 years ago, my comments at his funeral noted that the greatest aspiration any of us can have is to make a difference in the world. My father’s life made a difference. I’m always self critical and analyzing my own life. Show More Summary

Unity Farm Journal - Fourth Week of May 2016

What is the definition of the perfect wedding? Joy, love, happiness, inspriration and energy are felt by everyone? Families come together without conflict, embarrasment, or awkwardness? The guinea fowl avoid flying over the guests?If...Show More Summary

A Zero Tolerance Policy for Business Spam

In 2011 and 2012 I wrote about the increasing problem of Business Spam - unsolicited, unconsented advertising that has grown in volume to the point that it constitutes more than half of my email. In 2016, I’ve done an experiment - I’ve not opted in to any newsletter, any website offering notifications or any vendor offering information. Show More Summary

A Multi-Stakeholder Discussion in Washington

On Thursday, I spent the day in Washington with a group of government, provider, and developer sttakeholders convened by the Institute of Healthcare Improvement. We operated under Chatham House Rules, so I can summarize the discussion but not identify any of the participants or their specific statements. Show More Summary

Unity Farm Journal - Third Week of May 2016

Wedding plans have occupied much of this week at Unity Farm, ensuring that my daughter’s marriage weekend has perfect logistics. A wedding on a farm is more challenging than you think - how do you prevent flying guinea fowl from leaving...Show More Summary

Rethinking MACRA, a follow up

In my blog posts, I speak from the heart without a specific political or economic motivation. Although I’ve not written about highly controversial subjects such as religion, gun control, or reproductive policy, some of the topics in my posts can be polarizing. Show More Summary

Unity Farm Journal - Second Week of May 2016

It’s Spring so it’s time for new farm babies. Welcome Athena and Apollo, two baby geese born this week. They have the benefit of 3 mothers and 1 father watching over them. The adults took them to the pond and taught them how to swim within a few hours after hatching. Show More Summary

A Deep Dive on the MACRA NPRM

As promised last week, I’ve read and taken detailed notes on the entire 962 page MACRA NPRM so that you will not have to.Although this post is long, it is better than the 20 hours of reading I had to do!Here is everything you need to know from an IT perspective about the MACRA NPRM.1. Show More Summary

Unity Farm Journal - First Week of May 2016

I’ll be 54 this month and this week we delivered 54 heads of organic lettuce to Tilly and Salvy’s, the local farm stand selling Unity Farm products. Who would have thought that my “portrait” would look like this at 54 Here’s what the fresh organic vegetabes growing at Unity Farm look like this week. Show More Summary

Unity Farm Journal - Fifth Week of April 2016

Unpredictable New England weather continues - we’ve had temps in the 70’s and temps below freezing. Hard frosts are tough on new leaves and buds, so we’re assuming the fruit tree crops will be diminished this year. We’ll hold off on hoop house planting of our tomatoes, peppers, and eggplants until the first week of May. Show More Summary

The MACRA Notice of Proposed Rulemaking

This afternoon, the MACRA Notice of Proposed Rulemaking was released. I'll publish a comprehensive analysis of the 900+ pages next week, but in the meantime, a few thoughts.The major ideas are:The ONC 2015 Certification Rule appliesShow More Summary

Being a Cancer Treatment Partner

Recently my wife was asked to advise one of our friends about the process of cancer treatment. As I wrote in my 2011 post about our family's experience with cancer, the treatment involves everyone close to the patient. Here are Kathy's...Show More Summary

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