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Blog Profile / Life as a Healthcare CIO


URL :http://geekdoctor.blogspot.com/
Filed Under:Medical / Healthcare IT
Posts on Regator:734
Posts / Week:4.5
Archived Since:April 6, 2010

Blog Post Archive

Building Unity Farm - The Bees Arrive

On Saturday night 96,000 Italian bees arrived at Unity Farm in 8 hives. What are Italian bees? Here is an overview of bee types.There are many subspecies of the honeybee, Apis mellifera. Each has different characteristics in temperament, honey production, winter hardiness, swarming behavior, and disease resistance. Show More Summary

Documenting End of Life Care Preferences

Following up on yesterday's post about ICU dashboards, I think it is equally important to document end of life care preferences in the electronic health record. The HIT Standards Committee has been charged in 2013 with developing the...Show More Summary

Patient and Family Engagement in ICUs

My father died 2 months ago and now with a bit of distance from that emotional event, it's time to further reflect on technology to support patients and families in ICUs. BIDMC has been speaking with a major foundation about creating...Show More Summary

Building Unity Farm - The Mushroom Farm Begins

Last weekend, my wife, Bill Gillis (CIO of the Beth Israel Deaconess Care Organization), and I completed 72 Oyster mushroom totems and 60 Shitake logs - about 10,000 pounds of wood requiring 3000 individual inoculations.Here's how we...Show More Summary

Personal Health Record Use by Adolescents

In response to many questions about PHR use by adolescents, I asked Fabienne Bourgeois, the expert at Children's Hospital Boston, to write this guest blog post -As more and more practices and hospitals are making patient portals available...Show More Summary

Building a Trust Fabric in Massachusetts

Yesterday, several Massachusetts HIE stakeholders discussed how best to create a trust fabric among the array of vendors, organizations, and regional subnetworks that will exchange transfer of care summaries using the Meaningful Use Stage 2 standards. Show More Summary

Building Unity Farm - Shearing the Alpaca

Last weekend we sheared the alpacas and llama. As Unity Farm works to become a self sustaining agricultural entity, we plan to sell natural colored alpaca yarn and hand made raw fiber cat toys this Summer. Above, you'll find the before and after photos. Show More Summary

The May Massachusetts HIT Council Meeting

Just as the national HIT Standards Committee meets every month and I record its deliberations on my blog, the Massachusetts HIT Council, a governance body for healthcare IT activities in the Commonwealth, meets monthly. The Council is...Show More Summary

A Bold New Vision for Meditech

I have no financial relationships with any EHR vendor, but feel a great affinity for the vendors in Massachusetts - eClinicalWorks, AthenaHealth and Meditech.For the past few years, I've suggested to Meditech that cloud hosted, standards-based,...Show More Summary

Building Unity Farm - The Orchard is Born

When Kathy and I began looking at farmland, we developed a set of requirements (and a project plan) for selection of a property that would sustain us into retirement and beyond. After reading many books about sustainability and farming, we decided that 15 acres was more in line with our goals than 150 or 1500. Show More Summary

The Toad and the Snake

Over the weekend while working in the orchard, I found a small garter snake trying to eat an enormous toad, pictured above.Did the toad not realize that by wriggling its feet, it could easily escape? Was the toad unaware of the impending...Show More Summary

Preparing for a Meaningful Use Audit

ONC/CMS provides strong oversight of the Meaningful Use program by continuousy reexamining the quality of certified products and auditing hospitals and practices that have attested to meaningful use.Last week, ONC "de-certified" a product...Show More Summary

Building Unity Farm - The Year of Produce

I skipped my Unity Farm post last week due to the events in Boston that required undivided attention.2012 was the year of animals at Unity Farm since we acquired our herds and flocks from May to August of that year. 2013 will be theShow More Summary

Optimizing Electronic Medication Administration Records

In June, BIDMC goes live with Electronic Medication Records (EMAR) on one ward to be followed by 3 other wards, ensuring we meet our 10% Meaningful Use Stage 2 target by the reporting period October 1-December 31, 2013.We built a web-based,...Show More Summary

Reflections on the Tragedy in Boston

Now that schedules are returning to normal, it's appropriate to review the events of last week and reflect on the lessons learned with the benefit of hindsight.1. Risk planning is forever alteredTo me, risk is the likelihood of an event...Show More Summary

The April HIT Standards Committee

The April HIT Standards Committee focused on refining the work plan for 2013, ensuring that standards work is appropriately divided among SDOs, S&I initiatives, and HITSC committee workgroups.Doug Fridsma presented ONC's recommended next steps, based on the feedback from the HITSC Workgroup chairs. Show More Summary

An IT Perspective on the Bombings in Boston

Many reporters have contacted me today for an IT perspective on the April 15 bombings in Boston. Within moments of the event, social media became the preferred mechanism for communication and coordination. I was on a plane from Los Angeles...Show More Summary

Supporting the Living

My father died a month ago and I flew to Los Angeles this weekend to help my mother during the grieving process.She's doing very well.The death of a spouse (or father) can be traumatic to everyone involved. The tasks that follow theShow More Summary

Thursday Building Unity Farm - Creating the Mushroom Farm

I recently wrote about the planning for our Shitake and Oyster mushroom farm. Last weekend we began to build it.Using oak that we cleared during the orchard preparation process, I cut 150 four foot logs and will cut 70 more next weekend. Show More Summary

A Massachusetts HIE Update

In the next few weeks, BIDMC will begin sending 50,000 patient encounter records per week through the state HIE (the MassHIWay) to our quality measurement service operated by the Massachusetts eHealth Collaborative. Also in a few weeks,...Show More Summary

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