Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:777
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

The Early Experience of ICD10

Many in the press have asked me about the first few days of ICD10. The answer for my institutions, like many, is that other than a few small refinements, the impact has been unnoticeable.We trained 850 ambulatory clinicians in comprehensive...Show More Summary

Unity Farm Journal - First Week of October 2015

When we first moved to Unity Farm, I became a timber expert - managing 15 acres of oak, maple, cedar, birch, poplar, and hickory. I learned about the character of each of the trees, their wood, and their ecosystems.By building the Unity...Show More Summary

Confidence versus Competence

Sometimes an article inspires and resonates with me. Such was the case two weeks ago when I read about an alternative to the Peter Principle, that suggests you are promoted to your level of misery, not your level of incompetence.However, incompetence still exists. Show More Summary

Unity Farm Journal - Fourth Week of September 2015

The temperatures are in the 40’s at night, the pastures are covered with dew, and the pumpkins are ready for harvesting. Fall arrived this week at the Farm. Here's the front door of the farmhouse today. The forest creatures know that...Show More Summary

The September 2015 HIT Standards Committee

The September 2015 HIT Standards Committee was notable for the naming of new members and for the incorporation of the NwHIN Power Team (Dixie Baker) Standards Maturity model in all of ONC’s planning.Ten members of the committee reached their term limit in June. Show More Summary

Unity Farm Journal - Third Week of September 2015

The tree house is done and is engineered to hold 20 visitors plus a good supply of cider. I’ve suggested to my daughter that she gets married in the treehouse, but she thinks I’m out of my mind. Many folks have asked - why a treehouse?...Show More Summary

The Changing Role of the CIO

Over my 8 years of blogging (since 10/21/07) I've written many posts about IT leadership, career development and re-inventing yourself (something to do every 5-10) years. As a CIO for nearly 20 years, I've seen the nature of the role undergo remarkable evolution.In the early days of my CIO career, it was really important to be a technologist. Show More Summary

Unity Farm Journal Second Week of September 2015

The work on the tree house continues. The Labor Day weekend provided plenty of time for me to labor (in 90+ degree heat)First, I built a small model of the tree house platform using lightweight 2x2 pine and placed it on the tree 10 feet up to serve as a template for drilling the permanent supports. Show More Summary

The New Peter Principle

I grew up in the Southern California town of Palos Verdes Estates, where a nearby neighbor, Laurence J. Peter became famous by stating "In a hierarchy every employee tends to rise to his level of incompetence... in time every post tends to be occupied by an employee who is incompetent to carry out its duties... Show More Summary

Unity Farm Journal - First Week of September 2015

It’s hard to believe that September is already here. Apple picking has started and cider pressing begins soon. Our Asian pears are sweet, our Bosc pears are beginning to soften and the last of the berries have been picked.I was recently asked for the percentage breakdown of apple types in our Unity Farm hard ciders. Show More Summary

Solving the Provider Directory Problem for the Country

In many previous posts, I’ve written about the importance of enabling infrastructure to accelerate interoperability. The standards are not the rate limiting step, but the lack of a provider directory, patient identifier, and consentShow More Summary

Unity Farm Journal - Fourth Week of August 2016

Often people ask me how Kathy and I are able to care for 126 animals, grow half our food, and continuously develop 15 acres of wilderness into a farm. My wife took this photo after my recent orchard work which seems to indicate we have supernatural help! Last year we started the summer with 20 guinea fowl and ended the summer with 70 guinea fowl. Show More Summary

The August 2015 HIT Standards Committee

The August 2015 HIT Standards Committee marked the beginning of an important transition.As work on Meaningful Use winds down, it is being replaced with work on Obama’s signature precision medicine initiative and planning for the 2016...Show More Summary

Unity Farm Journal - Third Week of August 2016

As I’ve mentioned before, farmers really do not take vacations. Life on the farm is a vacation. Compared to the stresses and anxieties of the real time connected world, hauling hay, cleaning barnyards, and growing vegetables is meditation.During...Show More Summary

FY16 Strategic Planning

As we gather together stakeholders for strategic planning of next year’s priorities, what are we hearing and what we have learned?1. Clinicians are overwhelmed by the current demands of Meaningful Use, hundreds of quality measures, population health, care management, and patient/family engagement. Show More Summary

Unity Farm Journal - Second Week of August 2015

Although there really is no such thing as vacation for a farmer, I am trying to work from home on Mondays and Fridays in August. I saved on commute time and had a few hours free between phone calls to catch up on the University of Massachusetts Farming and Sustainability courses that my wife and I are taking. Show More Summary

Unity Farm Journal - First Week of August 2015

My daughter returns from Japan on Friday and we’ll hear all about her Summer traveling with David, her fiance. They plan to marry next year once Lara has finished her Tufts studies. Lara is a Japanese major. Will they live and work in Japan? The future is theirs to make. Show More Summary

The Security of Medical Devices

Last week the U.S. Food and Drug Administration advised hospitals not to use Hospira's Symbiq infusion system, concluding that a security vulnerability enables hackers to take remote control of the system. The agency issued the advisory some 10 days after the U.S. Show More Summary

Unity Farm Journal - Fourth Week of July 2015

Kathy and I have been hard at work with our University of Massachusetts coursework on farming and sustainability. Our first course, Post-harvest Handling of Fruits and Vegetables, has been a rigorous combination of science and practical experience. Show More Summary

When the Healthcare System Works

I was recently at a meeting where a colleague described a recent interaction with BIDMC.She had a traumatic injury on a weekend afternoon and suspected a fracture. Rather than visit an emergency department filled with high acuity patients,...Show More Summary

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