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Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:939
Posts / Week:3.7
Archived Since:April 6, 2010

Blog Post Archive

Dispatch from China

I’m in China this week meeting with government officials, hospital leaders and academics to review the policy lessons learned from HITECH, ACA, and the HIPAA Omnibus rule. I started Monday in Shanghai, meeting with Huashan Hospital to discuss their clinical data repository and healthcare information exchange plans. Show More Summary

CMS Proposed Rule Adds Flexibility to Meaningful Use in 2014

Although I'm in China at the moment and it's 5am, the news from Washington is so important that I had to share it immediately.ONC and CMS have listened to the testimony offered by many stakeholders and have proposed a rule that elegantly...Show More Summary

Unity Farm Journal - Third Week of May 2014

Last Fall, Kathy and I inoculated 165 logs with 11 different subtypes of Shitake. The typical “spawn run” of Shitake is 1 year, so we expected our first early flushes of mushrooms in October. Imagine my surprise when I found that 5 subtypes fruited last weekend. Show More Summary

The JASON Report

On 4/09/2014, AHRQ released the JASON report, facilitated by Mitre. JASON is an independent group of scientists who advise the United States government on matters of science and technology.The intent of the report is to make recommendations for a new healthcare IT architecture to accelerate interoperability. Show More Summary

Unity Farm Journal - Second Week of May 2014

Last weekend was picture perfect spring weather - 50’s and 60’s with slight rain. The forest is leafing out and the flowers are blooming including the weeping cherry. Our “vole attack” of last week has a followup. Although we removed an adult vole from the hoop house, we did not consider the possibility that she had hidden offspring. Show More Summary

The Food and Drug Administration Safety and Innovation Act (FDASIA) Report

On April 3, HHS released the FDASIA report which presents a risk based framework for evaluating the safety of innovative devices and applications.In issuing the report, the FDA took a very balanced view and did not expand its regulatory scope. Show More Summary

Unity Farm Journal - First Week of May 2014

Temperatures in New England are warming, with most days in the 50’s and nights in the 40’s. Last weekend was spent installing 50,000 bees in new bee hives. The process of package installation is straightforward. First, the queen, who is kept in a separate small cage, is placed in the hive. Show More Summary

Security Priorities for 2014

In previous posts, I’ve described security as a process, not a project. It’s like a cold war that never ends with new threats every day requiring new countermeasures.As I survey the landscape in 2014, I see much more sophisticated attacks at the same time there is much more severe regulatory enforcement. Show More Summary

The April HITl Standards Committee meeting

The April Standards Committee began with a tribute to Jon Perlin, who is leaving his chair role of the HIT Standards Committee so that he can focus on his chair role at the American Hospital Association. Jacob Reider, Deputy National Coordinator will serve as the Standards committee chair. Show More Summary

Unity Farm Journal - 4th week of April 2014

The state of Massachusetts recognized Unity Farm as a 61A agricultural property this week, so 14 of our 15 acres is now deemed as a working, producing farm!On Easter Sunday, the ducks, chickens, and guinea fowl laid their eggs throughout the barnyard, giving my daughter the unusual experience of a completely natural egg hunt, pictured below. Show More Summary

Unity Farm Journal - Third Week of April 2014

Last weekend was in the mid 60’s so we had two full days of animal, produce, and land activities. The animals welcomed the end of snow and ice and the beginning of sunbathing season. We had a vet visit and our alpaca and llama received the immunizations that I am not licensed to deliver - rabies and tetanus. Show More Summary

HIPAA and Fundraising

I was recently asked about using patient identified data for fundraising.The HIPAA Omnibus rule does permit the use of department of service, treating physician, and outcomes information in fund raising activities with an understanding...Show More Summary

Unity Farm Journal - The Second Week of April 2014

As is typical for New England, the second week of April is filled with 50 degree days and sub-freezing nights, making agriculture challenging. The morning soil is frozen hard, and tender sprouts in the hoop house must be kept warm overnight with row covers.Last weekend we did herd health - the complete medical examination of every animal on the farm. Show More Summary

Google Glass - the Details

I’m now able to publicly write about the work that Beth Israel Deaconess Medical Center has been doing with stealthy start up, Wearable Intelligence. We’ve been working over the past 4 months on pilots that I believe will improve the...Show More Summary

Building Unity Farm - The Farm Journal begins

This month marks the two year anniversary of our move to Unity Farm. We planned the farm with the desire to be as self sufficient as possible. Kathy closed her art gallery and now works on the farm full time.In the past two years, we have installed a poultry yard, created paddocks for the animals, and removed 2 acres of trees to plant the orchard. Show More Summary

ICD-10, What next?

After the senate vote on HR 4302 last night, I sent an email to the CIOs of payers and providers in Massachusetts, suggesting that we need to capture the millions spent locally in ICD-10 preparations before mothballing our projects.Show More Summary

Thursday Building Unity Farm - The Land Awakens

Now that we’ve had a few days above freezing, work on the land can finally begin.In April, the ponds and streams of Unity Farm begin to fill with spring peepers, salamanders, and wood frogs. The melting snow recharges the wetlands and turns the low lying trails into mud. Show More Summary

The March HIT Standards Committee

The March HIT Standards Committee focused on the Standards and Interoperability (S&I) Framework projects for 2014, an overview of the 2015 Certification Notice of Proposed Rulemaking, and a first review of the standards maturity for the proposed Meaningful Use Stage 3 criteria.Doug Fridsma presented the S&I update. Show More Summary

Building Unity Farm - Signs of Spring

Today is the vernal equinox and many people in New England are suffering from seasonal affective disorder after the coldest, snowiest, most relentless winter on record.The 100 animals of Unity Farm are relishing the first 24 hours since November with temperatures above freezing.Around the farm, signs of early spring are upon us. Show More Summary

Is Continuous Partial Attention part of Human Evolution?

During my Freshman year in high school, I was asked to write a major project paper. Armed with only a electric typewriter and access to a local library, I decided to write a comprehensive summary of the engineering principles used in Leonardo Da Vinci’s inventions spanning 80 single spaced pages. Show More Summary

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