Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:940
Posts / Week:2.4
Archived Since:April 6, 2010

Blog Post Archive

Building Unity Farm Sanctuary - August 2017

I’ve put down the pitchfork and shovel, returning to the keyboard to update everyone about our Sanctuary progress. Here’s what’s happened over the past few weeks.As Kathy wrote on Facebook on July 25, Pippin, our 30 year old Welsh Pony passed away from cancer. Show More Summary

Unity Farm and Sanctuary Guest Post

Over the past few weeks I've been writing a few journal articles and finishing a book, so my blog posts have waned. They will start again soon. In the meantime, my mother is visiting and here is her guest post. Dagmar Halamka's farmShow More Summary

Reflections on the US HIT Policy Trajectory

I’m in China this week, meeting with government, academia, and industry leaders in Guangzhou, Shenzhen, Beijing, Shanghai, and Suzhou. The twelve hour time difference means that I can work a day in China, followed by a day in Boston....Show More Summary

Building Unity Farm Sanctuary - First Week of July 2017

Admittedly, the pace of my writing has slowed this Summer since each day is filled with a combination of IT work, mentoring, and keeping 60 acres of farm/sanctuary running smoothly. How’s it all going? Our trajectory is good.So muchShow More Summary

Building Unity Farm Sanctuary - Second Week of June 2017

Star the Donkey arrived at the Sanctuary last week and she’s living with the goats, serving as a livestock guardian. She’s 18 years old (donkeys live to 35) is about 100 pounds overweight. We’ll be restricting her diet, giving her daily exercise, and provide intensive veterinary care until her weight normalizes. Show More Summary

What’s Next for Electronic Health Records?

With the Department of Justice announcement of the $155 million dollar eClinicalWorks settlement (including personal liability for the CEO, CMO and COO), many stakeholders are wondering what’s next for EHRs. Clearly the industry is in a state of transition. Show More Summary

Building Unity Farm Sanctuary - 4th week of May 2017

Spring’s warmth and rain is accelerating our plant and mushroom growth such that every day is a balance between agricultural management and sanctuary development activities like trail building as pictured below. The stone bridge you see was built in the early 1800's. Show More Summary

Building Unity Farm Sanctuary - Third Week of May 2017

In case it seems that my posting frequency has dropped, it’s a combination of a hectic spring farming/sanctuary schedule and writing requests from outside organizations. For my views on the recent cybersecurity/ransomware events see the PBS Newshour blog.Unity Farm Sanctuary work clothes have arrived in our closets. Show More Summary

Building Unity Farm Sanctuary - First Week of May 2017

We continue to work on the forests and trails surrounding the Unity property to create a community resource. The map below shows the current status of the land (water is in blue) - 18 trails, 10 bridges, 3 ponds, and 5 streams. We’re...Show More Summary

Building Unity Farm Sanctuary - Fifth Week of April 2017

Several folks have contacted me, wondering why the pace of my blog posting has slowed a bit in April. Don’t worry - all is well on the farm and sanctuary, it’s just spring planting, maintenance, and trail building time. The snow has melted, the weather is mild and the plants/animals need more attention that ever. Show More Summary

The Dark Side of E-commerce

As I mentioned in a recent post, Amazon has focused on the convenience of the customer instead of the convenience of their business. Yesterday’s New York Times highlighted the trend for the hotel industry to do the same.In my post, I...Show More Summary

Building Unity Farm Sanctuary - First Week of April 2017

In North America, Easter and Thanksgiving are traditionally associated with eating ham and turkey. You can imagine that a vegan sanctuary is very popular with creatures who want want to avoid being eaten.This week, we had the great turkey chautauqua. Show More Summary

A Cautionary Tale for Healthcare

During my CIO career, I’ve worked on a few Harvard Business School case studies and I’ve had the “joy” of presenting my failures to Harvard Business school students for over a decade.I enjoy telling stories and inevitably the cases I...Show More Summary

Building Unity Farm Sanctuary - Fifth Week of March 2017

We continue to refine the sanctuary buildings, prepare the new animal care areas, and keep our creatures healthy.Sweetie, our 18 year old Welsh Pony developed a sore on her right lip. Using my human medicine training I inspected it for abscess formation and drained it, while also applying local antibiotics. Show More Summary

Early Experiences with Ambient Listening Devices (Alexa and Google Home)

BIDMC has a long tradition of testing speculative technologies with the notion that breakthroughs often require tolerance for failure. For example, we’ve embraced blockchain in healthcare because we believe public ledgers have promise...Show More Summary

Building Unity Farm Sanctuary - Fourth Week of March 2017

It’s officially Spring and although the weather is cold and snowy, the anticipation of warmer weather means that Unity Farm Sanctuary is more active than ever.This week, a local young woman purchased our goose eggs and made traditional Ukrainian Pysanky Easter eggs. Show More Summary

Embracing Innovation

I’ve written several posts over the past two years about the need for innovation in healthcare IT - deploying self-developed apps, leveraging third party cloud hosted functions, and embracing the internet of things.I’ve previously discussed establishing a center for innovation. Show More Summary

Building Unity Farm Sanctuary - Third Week of March 2017

With every passing day, Unity Farm Sanctuary increases its capacity to host public educational sessions, retreats, and events. Our first few months were focused on the historical Unity Hall building. As you’ll see in the photographs below, we’ve made substantial progress. Show More Summary

Building Unity Farm Sanctuary - Second Week of March 2017

When you run a sanctuary, you need to be agile. We received a message that we had until 1pm to rescue a heritage turkey or he would be eaten. We drove the Unity Farm van to pick him up and within 2 hours he was living at Unity Farm Sanctuary. Show More Summary

Building Unity Farm Sanctuary - Fourth week of February 2017

In New England we often say that if you do not like the weather, wait 5 minutes. The high this week at Unity Farm Sanctuary was 70F and the low was 5F. We’ve had blankets on the horses overnight then removed them at dawn to prevent overheating. Show More Summary

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