Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:727
Posts / Week:2.8
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Fourth Week of April 2015

This week a coyote visited the barnyard during the day. Daytime activity is not unusual for females which have an active den of hungry pups. We have fox, coyote, and fisher cat dens at Unity Farm, so there is a high predator load. What happened? The guinea fowl alarmed. Show More Summary

The April 2015 HIT Standards Committee Meeting

The April 2015 HITSC meeting focused on the Certification Rule NPRM and a comprehensive review of the Federal Interoperability Roadmap.I suggested that a guiding principle for the committee’s work is to emphasize the enablers in the proposals while reducing those aspects that create substantial burden/slow innovation. Show More Summary

Unity Farm Journal - Third Week of April 2015

The daytime temperatures are in the 60’s and the evening temperatures are in the 40’s. The heated buckets in the barn can finally be retired. The heated bases for the poultry waterers and stock pond can be unplugged. The chance of frost will continue until late May, but the daily sub-freezing temperatures have passed. Show More Summary

A Dispatch from HIMSS

Unfortunately, I was unable to attend HIMSS this year because a special request from Andy Grove, the former CEO of Intel. He asked me to serve with Roni Zeiger (Smart Patients, Google Health) and John Mattison (CMIO of Kaiser) as co-presenters...Show More Summary

Unity Farm Journal - Second week of April 2015

Now that most days are above freezing and the mud is drying up, the cadence of the farm has returned to its usual pace. The hoop house is filled with winter/spring vegetables and all the beds have been planted. The garlic planted before winter is sending out shoots. Show More Summary

More Argonaut Deliverables

Micky Tripathi sent this update last evening. Dear Argonaut Steering Committee Member, I’m writing with a quick project update for your information. FHIR DSTU2 Ballot. The effort to keep the Argonaut-relevant components of FHIR on schedule was successful. Show More Summary

The First Argonaut Deliverable

The HL7 Ballot for the Argonaut-related FHIR specifications opens today as promised.Here's an overview with a list of the structured data elements to be exchanged through query/retrieve application program interfaces. This approach will usher in a new era of interoperability.Comments are welcome!

A Meaningful Use/Certification Crosswalk

Thank you to Steve Posnack and Mike Lipinski at ONC for producing a very valuable crosswalk between the CMS Meaningful Use Rule and the ONC Certification rule. This is not an official document and it is open for discussion.This summary...Show More Summary

Unity Farm Journal - First Week of April 2015

March has been “in like a Lion, out like a lamb”. The snow is melted and 50 degree days mean that the growing season on the farm has started. We’re already harvesting fresh greens from the hoop house, the peas are a foot high, and our spring transplants - cucumbers, eggplant, peppers, etc. Show More Summary

Gathering Feedback on the Certification Rule

Over the next 3 months, the HIT Standards Committee will review every detail of the 431 page Certification rule. We’ll also be holding calls to look at the rule as a whole. At least one call will be open to the general public. o. Think...Show More Summary

Unity Farm Journal - Fourth Week of March 2015

The temperatures are finally above freezing and we can get back to the usual workflow of the farm. There is only a foot of snow left on the ground and we can actually walk to all our buildings and paddocks.We opened the bee hives and did a thorough inspection. Show More Summary


This analysis was written by Micky Tripathi and John Halamka.On Friday March 20, CMS released the Electronic Health Record Incentive Program-Stage 3 and ONC released the 2015 Edition Health Information Technology (Health IT) Certification...Show More Summary

Meaningful Use Stage 3 NPRMs arrive

For those who want to start readingThe ONC Certification RuleThe CMS Meaningful Use RuleI will write an analysis over the weekend

The March HIT Standards Committee

The March 2015 HIT Standards Committee was one of the most impactful meetings we have ever had. No, it was not the release of Meaningful Use Stage 3 or the certification rule. It was the creation of a framework that will guide all of...Show More Summary

Unity Farm Journal - Third Week of March 2015

The effort to keep the chickens/ducks/guinea fowl safe from the hawks has had its own complications. We originally built the coop (10x16) and pen (10x20) to hold less than 50 birds. Although it’s easy to limit population growth of chickens and ducks (collect the eggs), the guineas lay eggs in hidden forest nests. Show More Summary

Unity Farm Journal - Second Week of March 2015

The thaw has begun. This week, for the first time in 2015, we’ll have daytime temperatures above freezing. The 8 foot snowbanks are starting to recede, although the Great Pyrenees can still look down on the 6 foot fences. As the snow melts, creatures are becoming more active. Show More Summary

Outcomes as a Service

On Monday, I wrote a brief op-ed for the Wall Street Journal about the reality of cloud computing. You can read the full article here.I classified cloud computing in three different conceptsInfrastructure as a Service (IaaS) - your applications...Show More Summary

Unity Farm Journal - First Week of March 2015

The snow, ice and sleet continues. February was the snowiest month we have ever had in Boston had with 64.8 inches. It was also the second-coldest February on record.I’ve attacked the endless frozen tundra of Unity Farm with the Terex front loader,an ice chipper, and a stainless steel SnowEx salt/sand spreader. Show More Summary

Resource Leveling

In an era when demand for IT services always exceeds supply, it’s important to triage incoming requests and allocate existing resources to completing the highest priority projects in the shortest time.Time, scope, and resources are the only three levers available to a CIO. Show More Summary

What is the Optimal Future Role for ONC?

As Meaningful Use winds down and incentive dollars are fully spent, what is the optimal role for ONC going forward?Some pundits have suggested that ONC step aside and return all aspects of HIT policy and technology to the private sector. Show More Summary

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