Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:948
Posts / Week:2.3
Archived Since:April 6, 2010

Blog Post Archive

Embracing the New, New Thing

My life has been devoted to the pursuit of innovation - attempting to embrace new ideas and new technologies before the path ahead is completely clear. Admittedly, I have not leveraged social media to the extent I should have.For a decade, I’ve posted blogs and for many years wrote lengthy posts every day. Show More Summary

My Technology Christmas List for 2017

Although this week will be lighter because of the holidays, the work never ends. At the Sanctuary, I'm using our Terex skid steer and its attachments (consensus method from forums suggests the "blade" to create windrows then the snowblower attachment to move the windrows. Show More Summary

Another Dispatch from a Broken Healthcare System

I'm working on a series of "Dispatches from a Broken Healthcare System" based on my personal experience as a care navigator. I've already written about a frustrating care management experienceToday's blog is a guest post from Amy Stiner, a healthcare expert and single mom from the Pacific Northwest. Show More Summary

Dispatch From South Africa

My blog readers must think I've abandoned them over the past few weeks. I apologize for the whirlwind of October and November. With the BIDMC-Lahey merger planning and the new cloud hosted Meditech go lives of my day job, plus the usual Fall conference commitments, and my new work with the Gates Foundation, blogging has fallen behind. Show More Summary

Unity Farm and Unity Farm Sanctuary Update for November 2017

Starting next month, my daughter Lara will take charge of our instagram, Facebook, and Twitter feeds, providing daily updates about the Farm and Sanctuary. As we approach winter 2017, we can officially declare that the farm and sanctuary are now fully built and we're transitioning to daily operations. Show More Summary

Don't Let Things Slip Away From You

Kathy has written this guest post, about the unexpected death of a friend. "Please don’t let things slip away from you:first steps,first kiss,first real vacation…first time you know that something is not quite right in your body.I discovered yesterday that someone about my age whom I have known for at least 15 years had passed away in September. Show More Summary

Building Unity Farm Sanctuary - September 2017

I’m on a flight to New Zealand as part of my international government service. The 26 hour commute means that even with just two days of meetings in Auckland, I will be gone from the farm for 5 days.I spent Saturday morning cleaningShow More Summary

We Can Improve Care Management

As a physician and CIO, I’m quick to spot inefficiencies in healthcare workflow. More importantly, as the care navigator for my family, I have extensive firsthand experience with patient facing processes.My wife’s cancer treatment, my...Show More Summary

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

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