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Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:904
Posts / Week:3.9
Archived Since:April 6, 2010

Blog Post Archive

Stakeholder’s Progress report for FHIR

The following blog entry is a guest post from Grahame Grieve, creator of Fast Healthcare Interoperability Resources (FHIR):"During the week of Sept 14th to 19th, HL7 held a working meeting during which the organization worked on further...Show More Summary

Unity Farm Journal - Fourth Week of September 2014

As we prepare for winter, we’re busy splitting wood, preparing the winter garlic beds, and finishing the building maintenance tasks for the cold and wet months ahead.We burn about 3 cords of wood each winter, all split from fallen trees on the farm. Show More Summary

You know Meaningful Use is Real When...

My 83 year old father-in-law returned from a recent outpatient visit to his primary care provider with two customized handouts - a transition of care summary detailing problems/meds/allergies and an opt-in consent for the exchange of...Show More Summary

Early Experiences with the iPhone 6

I’m truly not an “Apple fanboy”. I’m a believer in “do-acracy”, rewarding people and companies that create useful products which save me time.I stay objective about every company. I recently emailed one of my favorite companies which...Show More Summary

A Tale of Two Companies

The Apple Store on September 19th at 7:00am - the line on Boylston Street is over 1000 people long to purchase an iPhone 6. The Microsoft Store on September 19th at 10:30am - two employees are surfing the web on a Surface RT. The poster outside explains how Microsoft improves your iPhone.

Unity Farm Journal - Third Week of September 2014

Gluten free and Paleo diets seem to be the rage these days. I prefer Michael Pollan’s advice - eat food, not so much, mostly vegetables. It’s impossible for us to say if the real Paleo diet was raw wooly mammoth or the roots/berriesShow More Summary

The Path Forward for Query/Retrieve

In 2009, I wrote about The Genius of the AND in thinking about the different standards requirements of “Blue Button” versus "transitions of care". We accepted CCR and CCD for the first stage of Meaningful Use as a means of buying time...Show More Summary

Unity Farm Journal - Second Week of September 2014

As readers of my blog may have noticed from my infrequent posts, the past two weeks have been truly chaotic, filled with harvest and Fall planting activities during the transition from the dog days of Summer to the traffic filled first days of school. Show More Summary

The September HIT Standards Committee

The September HIT Standards Committee was one of the most important meetings in the history of the group. We heard pivotal reports from the NWIN Power Team about Query/Response standards as well as from the JASON Task Force. Together...Show More Summary

The Apple Platform for Wellness Arrives

Today I’m sitting at the Flint Center in Cupertino where Steve Jobs introduced the first MacIntosh 30 years ago. Who can forget the iconic commercial “why 1984 won’t be like 1984”? It was the year I graduated from college and the year...Show More Summary

New CMS rule allows flexibility in certified EHR technology for 2014

Today is my one day of Summer vacation, enabled by the large number of people taking a long labor day weekend.Some things are worth interrupting your vacation.This afternoon, CMS published he long awaited final rule on Meaningful Use...Show More Summary

The August HIT Standards Committee

The August HIT Standards Committee focused on the work ahead to accelerate interoperability. It’s no longer about Meaningful Use, it’s about Meaningful healthcare information exchange. I offered my opinion about the work ahead. ONC is...Show More Summary

Unity Farm Journal - 4th week of August 2014

Over the past week, the combination of rain and cool Fall-like temperatures caused our 165 shitake logs to fruit, resulting in over 50 pounds of fresh mushrooms. We inoculated 5 tons of oak logs last August and throughout the year have had a few pounds to deliver to local farm stands. Show More Summary

Unity Farm Journal - Third Week of August 2014

As a doctor for over 20 years, I’ve learned how to treat critical healthcare issues. As a father, son, and husband I’ve learned how to support my own family through injury, sickness, and death.As a farmer responsible for over 100 animals, life and death are part of the daily experience.Sunny, our baby alpaca, is now doing extremely well. Show More Summary

The Meaningful Use Stage 2 Finish Line

Hospitals across the country have until September 30 to complete their 2014 reporting period for Meaningful Use Stage 2.Recently Ashish Jha and Julia Adler-Milstein published important articles in Health Affairs about the current state of EHRs and Health Information Exchange. Show More Summary

Unity Farm Journal - First Week of August 2014

We continue to be on cria watch, as our last pregnant alpaca, Mint, waddles around the paddock. The alpaca gestation period is 11.5 months and Mint is just about there.Just as 17 keets (baby guineas) appeared from the forest last week, 10 appeared this week. Show More Summary

Sunshine Act/Conflict of Interest

As with previous years, it’s time to openly publish my conflict of interests, board memberships, advisory board positions, and government activities so that anyone reading my opinions has full transparency.The federal government has made financial disclosure very easy with the Sunshine Act. Show More Summary

Unity Farm Journal - 5th Week of July 2014

The great thing about running a farm is that every day is filled with the unexpected.Sunny, our new baby alpaca did not consume her first meal of mother’s milk in time to receive the antibodies that are necessary to keep her healthy....Show More Summary

Real Time Big Data Analytics for Clinical Care

Over the summer, I’ve given many lectures about SMAC - social media, mobile, analytics and cloud computing.The most popular analytics topics are business intelligence, big data, and novel data visualizations.Recently, Dr. Chris Longhurst,...Show More Summary

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