Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:792
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Third Week of November 2015

The leaves have fallen, the nights are below freezing, and the water systems have been drained for the season. Salt marsh hay covers all the outdoor vegetable beds, all cider has been moved indoors, and every bucket has been taken down from outdoor paddocks (heated buckets keep liquid water available inside the barn.). Show More Summary

A Followup on the MU Path Forward

After last week’s post about my suggested path forward for Meaningful Use, I received a large number of comments. I thought it would be useful to summarize them and clarify some of opinions.In general, 95% of commenters agreed that CMS...Show More Summary

Unity Farm Journal - The Second Week of November 2015

There are still a few weekend opportunities to work outside before the snow falls. We’ve shut off the irrigation, blown out all external pipes, put away the hoses, taken down all the temporary fences we used to keep the poultry out of fresh plantings, and covered all the firewood with tarps. Show More Summary

The Path Forward for Meaningful Use

Below is my assessment of the current Meaningful Use program and a proposal to better serve the needs of stakeholders. I’m likely going to violate many rules with this post. First, it’s over 1500 words, which is not ideal for social media. Show More Summary

The First Week of November 2015

We’ve had a sudden burst of warmth that enables us to do additional outdoor work. Among our 15 acres are several very old and large trees. The old oak on the hill now hosts the 12x12 tree house. The old maple in the marsh now hosts a 4x4 foot platform. Show More Summary

The November HIT Standards Committee

The November HIT Standards Committee included a comprehensive review of the CMS Meaningful Use Stage 3/Modification Rule and the ONC 2015 Certification Rule.We begin the meeting with a presentation from Robert Anthony of the Meaningful Use Stage 3 and Modification Rule A robust discussion followed. Show More Summary

Unity Farm Journal - Fifth Week of October 2015

I’m back from China and have caught up on the accumulated farm work that built up in my absence. I did what I needed to do in Asia, lecturing about Meaningful Use accompanied by lasers and fog, but not fireworks. Kathy kept everyoneShow More Summary

The ONC 2015 Certification Rule

Just as I summarized the CMS Meaningful Use Final Rule last week, this week I’ll summarize the 560 pages of the ONC 2015 Certification Final Rule.Key points to understanding the rule include1. The 2015 Certification Rule is decoupled from Meaningful Use. Show More Summary

A Meaningful Use Rap

A hilarious musical statement about the current state of medical practice, EHRs, and regulatory requirements.

Unity Farm Journal - Fourth Week of October 2015

October is the best time of year to travel in Shanghai and Beijing. The temperature is typically between 60-75F and there is little rain. Air quality is reasonable and transportation systems are at their most efficient. In my role as...Show More Summary

A Brief Summary of the CMS Meaningful Use Final Rule

I’ve been asked to summarize the 752 page CMS Meaningful Use Final Rule.Note that although it is a final rule, it has a 60 day comment period, so there is still is an opportunity to modify some of the criteria. It contains revisionsShow More Summary

Unity Farm Journal - Third Week of October 2015

I’m in China for the next week with limited access to social media sites, so a few blog posts will accumulate on my laptop until I return. Here’s the farm update.Mid-October is a remarkable time of year in New England. Mornings are crisp and afternoons are warm. Show More Summary

Thursday Unity Farm Journal - Second Week of October 2015

We had 4 inches of rain this week, bringing a welcome end to the drought of the past 30 days. Over the past few years we’ve worked hard to regrade the landscape around the farm and ensure water drains away from buildings. Not a drop entered any structure.The nights are turning cold and we’ve restarted the fireplaces at night. Show More Summary

The CMS and ONC Final Rules Arrive

Steve Posnack from ONC declared today IT Bonanza Day. The Interoperability Roadmap, CMS Meaningful Use Final Rules with a Comment Period (Stage 2 and 3) as well as the ONC 2015 Certification Rule were published today.Here are a few resources...Show More Summary

The Joint HIT Standards and Policy Committee meeting

All the members of the ONC Federal Advisory Committees met in Washington to review delivery system reform and the Interoperability Roadmap.We began the meeting with a thank you to Jodi Daniel, who will be leaving ONC after 10 years of service.Elizabeth Holland presented a data update on the Meaningful Use program. Show More Summary

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

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