Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:885
Posts / Week:2.6
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Third Week of October 2016

I’ve been in China this week, so Kathy has been running Unity Farm. As usual, the farm continues to be an ever evolving and exciting place. Here’s a typical email from her“Many visitors were here today. Our young intern was here helping...Show More Summary

The Quality Payment Program Final Rule

Many people have asked me to review the Quality Payment Program final rule, released on October 14, 2016. Several summaries have already been written but your best bet is to rely on the CMS Quality Payment Program website at More Summary

Unity Farm Journal - Second Week of October 2016

Despite my international travels this week and next, the farm waits for no one. 150 creatures need food and warmth. The buildings and infrastructure need tending. The vegetables and fruits need harvesting. Between Denmark and China,Show More Summary

Dispatch from Denmark

Today I’m in Denmark speaking at a yearly national healthcare IT conference. Denmark is a remarkable country of 5 million people with a robust social support system. Healthcare is provided for life as part of being Danish. If you lose your job, generous unemployment benefits provide for the ongoing well being of you and your family. Show More Summary

Unity Farm Journal - First Week of October 2016

What a year at Unity Farm: a plague of winter moth, a spring gypsy caterpillar infestation, deep drought, and maybe Hurricane Matthew, which is heading up the coast, might affect our foliage color and branch-falling. Life on a farm is never boring.Every October we press cider using the apples that were most successful that season. Show More Summary

Unity Farm Journal - First Week of October

The drought has taken its toll on the Fall color, with leaves going from green to brown then dropping off the trees. The mornings are crisp - in the 50’s and the afternoons barely reach 70. The shadows are long and the hoop house loses sunlight at 3pm. Show More Summary

Social Media Guidelines for our Clinicians

We recently published this guideline at BIDMC based on the input from a multi-disciplinary working group. I thought it might be useful to share with the community, since many healthcare organizations are at the early stage developing social media policies.1. Show More Summary

Unity Farm Journal - Fourth Week of September 2016

It’s the first week of Fall and leaves are beginning to drop. The drought of Summer has stressed all the trees and they are going dormant early. We’ve done our best to keep our orchards thriving, but the Apple harvest is about half the usual quantity as well as a few weeks early. Show More Summary

Reducing my Digital Burden

Last weekend, I started a process that some may consider regressive. I began deleting my social media accounts to improve the signal to noise ratio in my life.10 years ago I wrote about the importance of social media and building networks...Show More Summary

Unity Farm Journal - Third Week of September 2016

The nights are beginning to cool down to the 40’s and we’ve doubled up on the straw in the pig barn in addition to tucking them in each night with 3 fleece blankets. In a few weeks we’ll move them from the Summer Pig Cottage (shaded/east facing) to the Winter Pig Palace (sunny/south facing) and given them their cold weather quilts for sleeping. Show More Summary

Clarifying Certification Requirements for Hospitals

With all the changes happening to Meaningful Use, Quality Measurement, and MACRA in 2016, I’ve been asked many questions by many organizations to help them plan for the future.As I’ve said many times, one of the great challenges we have...Show More Summary

Unity Farm Journal - Second Week of September 2016

Hurricane Hermine came and went, dropping only 2/10ths of an inch of rain on the drought parched soil of Eastern Massachusetts. Although we had 20 mph wind gusts, none of the stressed trees were knocked over. We’re continuing to irrigate our crops using our 60 zones of drip irrigation, while trying to preserve the well. Show More Summary

The Joy of Mentoring

Since 2016 is the 20th year I’ve served as CIO, I’ve given a great deal of thought to the various careers I’ve had and the roadmap for the 20 next years of my working life.In my late teens and 20s I was an entreprenuer running a 35 person software company while doing my medical and graduate school training. Show More Summary

Unity Farm Journal - First Week of September 2016

Tropical storm Hermine is approaching New England this weekend and we can only hope we get some drought relief without too much wind. The ferns in the forest crunch like potato chips and the soil around the farm has become hard pack....Show More Summary

The Blockchain Challenge

Early this year, I posted a collaborative discussion about the potential applications of Blockchain for healthcareAriel Ekblaw from the MIT Media Lab collaborated with BIDMC to actually implement Blockchain medication reconciliation with deidentified patient data.ONC selected it as a winner of the Blockchain ChallengeThe idea is simple. Show More Summary

Unity Farm Journal - Fourth Week of August 2016

It’s another “vacation” week for me, which is code for catching up on all business and personal commitments I’ve made over the past few months but haven’t yet completed. The good news is that I’ll start next week with a clean slate.Google Maps recently updated their survey of Sherborn, so we have a very current view of Unity Farm. Show More Summary

Unity Farm Journal - Third Week of August 2016

I’m on “vacation” this week, working remotely from the farm, so no Wednesday blog post, but here’s the Unity Farm update. I always tell my staff that management is balancing scope, time and resources. To much scope and not enough makes resources very grouchy unless they are augmented.The same thing is true about managing a farm. Show More Summary

Unity Farm Journal Second Week of August 2016

Running an organic farm means that you have to manage animals and plants in concert with the trials and tribulations nature throws in your path. You must become an expert on predator/prey, disease/cure, and seasonal variation. How do...Show More Summary

A Visit to Oscar Health

Today I’m in New York City visiting Oscar Health, on my continuing quest to determine how best to integrate digital platforms, patient-family engagement, and care coordination in preparation for MACRA/MIPS and the transformation from...Show More Summary

Unity Farm Journal - First Week of August 2016

The farm refrigerator is 25 years old and this weekend it finally failed. It had two working temperatures - too hot and too cold. After 25 years of hard work it had to be retired, since spare parts are no longer available. The new refrigerator...Show More Summary

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