Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:751
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Fifth Week of June 2015

I sometimes joke with my daughter that I finished 25th grade, doing 2 bachelor’s degrees, 2 masters degrees, an MD, and a fellowship. As a Harvard Professor, you’d think I would be done with sitting on the student side of the room.Last...Show More Summary

Managing Up

I took my first job at age 13, building model planes and skateboards at Palos Verdes Hobby Shop. Over the past 40 years, I’ve reported to over a dozen people. Some were inspirational and charismatic. Others were more task delegation oriented. Show More Summary

Cool Technology of the Week Special Edition

BIDMC has 4 Apple Watches (the inexpensive Sport model) for development and evaluation. Our programmers have 3 of them and I’m passing the 4th around to various folks including a 65 year old techie and a 22 year old digital native (my daughter Lara). Show More Summary

Unity Farm Journal - Fourth Week of June 2015

We brought our alpaca mom and new baby, Daisy and Danny, home after a brief thunderstorm cleared. Nature concluded what we’ve always known - Unity Farm is the end of the rainbow. Mom and baby are healthy, happy and content. Daisy has become an overprotective mom and Danny eats vigorously every hour. Show More Summary

The June 2015 HIT Standards Committee

The June 2015 HIT Standards Committee focused on celebrating the accomplishments of those individuals who have reached their federal advisory committee term limits. Most served 6 years:Dixie BakerAnne CastroMarty HarrisDavid McCallieStan...Show More Summary

Driving Miss Daisy

It’s been a long weekend. Here’s the story of the birth of our new Alpaca, Dandelion Wine (Danny)On Thursday at 12:03pm, Kathy texted me the picture below and the message “HELP!” Mom had delivered the long legs of a new baby. I rushed...Show More Summary

Unity Farm Journal - Third Week of June 2015

Last week’s 3 inches of rain yielded this week’s 50 pounds of Shitake. Here’s a few photos of the massive mushroom harvest. The winecaps, agaricus, and wild mushrooms in our forest are also fruiting abundantly. Our permaculture efforts,...Show More Summary

Setting Clinical IT Priorities

In my previous writing, I’ve suggested that the federal government co-opted our Clinical IT agenda over the past three years with Meaningful Use Stage 2, ICD-10, the HIPAA Omnibus Rule, and the Affordable Care Act (ACA).Now that Stage...Show More Summary

Unity Farm Journal - Second Week of June 2015

It’s mid-June so the farm is filled with Summer greenery, rapidly growing fruits, new animal babies, a flurry of harvesting/planting activity, and beekeeping.Here’s a view of chives near the hoop house, ready for harvest. The orchard grass is growing so fast, we mow it weekly. Show More Summary

Standards Alone are not the Answer for Interoperability

Today I have the honor of presenting a guest blog by David McCallie MD, SVP Medical Informatics, Cerner. He summarizes the collective feeling of the industry about the trajectory of interoperability."I have been honored to have served on the HIT Standards Committee from its beginning in 2009. Show More Summary

Unity Farm Journal - First Week of June 2015

As I’ve written previously, running a farm is about life and death. When you’re supporting over 100 creatures, every day is filled with unpredictable events. This week, one of our chickens, Terra, developed “sour crop”.We treated her...Show More Summary

So What is Interoperability Anyway?

One of my most memorable experiences as an IT leader was working with with a dissatisfied customer. I asked what requirements were unmet, what features were priorities, and what future state was desired. The answer was “I’m not sure,...Show More Summary

Unity Farm Journal- Fifth week of May 2015

Spring and Fall are very busy days on the farm. With each passing day in May, you never know what new task will appear.On Saturday, Kathy and I drove to Western Massachusetts near the border of Vermont and New York to pick up our Russian “nucs”, the mini-hives used to start a new hive. Show More Summary

Interoperability and the Trough of Disillusionment

Every technology has an adoption journey. The classic Gartner hype curve travels from a Technology Trigger to the Peak of Inflated Expectations followed by the Trough of Disillusionment. It often takes years before organizations reach...Show More Summary

Unity Farm Journal - Fourth Week of May 2015

I’ve always thought that shearing transforms a fluffy overstuffed alpaca into a creature from a Dr. Suess book (the Lorax?). Below are before and after shearing pictures of the alpaca herd. In May the temperatures at Unity Farm have varied from a high of 90F to a low of 32F. Show More Summary

The May 2015 HIT Standards Committee Meeting

The May 2015 HIT Standards Committee focused on an in depth review of the ONC Notice of Proposed Rulemaking, with the goal of providing guidance to ONC by June as to which standards should be included in final rule, which should notShow More Summary

21st Century Cures Act

I’m in Washington today for the HIT Standards Committee and I will post the usual summary of the meeting this evening. However, I wanted to post a morning preview of the opening comments I’ll make a the meeting.We are in a time of great turmoil in healthcare IT policy making. Show More Summary

Unity Farm Journal - Second Week of May 2015

While I have been traveling in Eastern Europe, Kathy has been busy with bees, alpaca, and the daily duties of running the farm.There have been many articles about accelerating bee deaths/colony collapse disorder.On our organic farm, there are no pesticides, herbicides, or significant stressors for the bees. Show More Summary

Dispatch from Eastern Europe

I’m in Riga, Latvia today at the request of the Office of the National Coordinator, explaining the HITECH act and the US national HIT strategy to experts in the European Union 2015 EU-US eHealth/Health IT Cooperation Assembly.My mother...Show More Summary

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