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Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:897
Posts / Week:3.9
Archived Since:April 6, 2010

Blog Post Archive

The Roles I Play

As 2014 begins, I marvel at the evolution of the CIO role from 1997 to 2014. Gone are the days when my role was to serve as technical expert, configuring web servers, optimizing data bases, or simplifying code. Gone are the days when product decisio nmaking depended on software architecture expertise to ensure scalability, reliability and security. Show More Summary

Building Unity Farm - Thinking about Automation

Every year at Unity Farm, I move 10000 pounds of manure, 10000 pounds of logs (18 inch segments), 10000 pounds of wood chips, and thousands of pounds of snow. I've done this to date using a hand cart and wheelbarrow. I turn 52 in a few...Show More Summary

The Next Phase of Healthcare Information Exchange

Today, Massachusetts Governor Deval Patrick will launch the next phase of healthcare information exchange (HIE) in Massachusetts - “Commonwealth Interconnected: Mass HIway Query and Retrieve”In Phase 1 of our state HIE project, we focused...Show More Summary

Baby, It's Cold Outside

For those who not have experienced Winter Storm Hercules, it's currently -10F at Unity Farm (not wind chill, that's -15F). We have 10 inches of new fallen snow.As I've written about previously, all the animals have protection from wind and water. Show More Summary

Building Unity Farm - Making Mead and Cyser

The entire family visited Unity Farm for the holidays. After all the gift giving, merry making, and yuletide time by the fire was over, what should a family do at a farm with apples, honey, fermentation equipment (there's a basic chemistry...Show More Summary

The Year That Was 2013

As the year drew to a close, I was interviewed by many trade publications about the key themes that shaped 2013. Here's my own version of the notable events of 2013.1. Meaningful Use changed the EHR landscapeRegardless of your political affiliation, there is little debate that EHR adoption in the US achieved a tipping point in 2013. Show More Summary

Building Unity Farm - A White Christmas on the Farm

It's Christmas at Unity Farm and the temperature outside is 12F. All 100 animals are fed, watered, and their living quarters are cleaned. The orchard and cider house have been put to bed. I racked the last 60 liters of our fermentedShow More Summary

The December HIT Standards Committee

The December HIT Standards Committee focused on patient generated data, image sharing, patient matching, and the 2014 work plan, ensuring we select the necessary standards to support Meaningful Use stage 3 policy goals.We began the meeting...Show More Summary

Become a Mountain

When I was 16 years old I wrote a short collection of poems. The cover page listed a few youthful notions that would become my life long guiding principles:"Be wary of artificial limits and self-compromiseIf the world praises mediocrity,...Show More Summary

Building Unity Farm - Herd Health

One weekend each month, Kathy and I do "care management" and "population health" for the 100 animals of Unity Farm. Here's the workflow:Llamas/AlpacasWe gently halter each animal and reassure them by rubbing their chins and scratching their ears. Show More Summary

Google Glass Progress Report

Our teams continue to work on Google Glass applications for Emergency Department workflow improvement. Here's a photo of our team at work with a stealthy startup developing healthcare solutions on Google Glass. Issues we've had to address...Show More Summary

Meaningful Use and Certification Improvements

Today, HHS circulated the following important announcement: "CMS to Propose New Timeline for Meaningful Use Implementation and ONC to Propose New Regulatory Approach to Certification I wanted to make sure you were aware that the Centers...Show More Summary

Thursday Building Unity Farm - Preparing for Winter

Snow will begin falling in New England over the next few weeks. Most nights have subfreezing low temperatures and it's challenging to maintain water sources for the animals and plants on the farm.How do we do it? Heated buckets, heated...Show More Summary

Commanding Versus Leading

When I first became a CIO, my role involved writing applications and managing architecture at a detailed level. Over the past 17 years, my role has become much more strategic, ensuring the right investments in the right overall architecture are made with appropriate resources to support them. Show More Summary

Building Unity Farm - Thanksgiving on the Farm

Thanksgiving is a time for family and friends to reflect on the past year, be grateful for the good things that happen every day, and consider the journey we're all on, which is hopefully headed in a positive direction.On a farm, this day of thanks is very personal. Show More Summary

Rethinking Certification

As stakeholders in payer, provider, and government communities debate the optimal timing of ICD10, Meaningful Use Stage 2, ACA, and HIPAA Omnibus rule deadlines, it's becoming increasingly clear that many hospitals which attested inShow More Summary

Building Unity Farm - Making the Perfect Cider

In North America, we think of apple cider as a non-alcoholic drink available for a few weeks in the Fall. Before prohibition, most cider was fermented to 4-6% alcohol as a means of preserving it. Cider was available from casks throughout the year. Show More Summary

Fine Tuning the National Healthcare IT Timeline

I've recently written about and the lesson that going live too soon creates a very unpleasant memory. As I work with healthcare leaders in Boston, in New England, and throughout the country, I'm seeing signs that wellShow More Summary

Social Networking for Good

I've written about many aspects of social networking in the past such asSecurity risks and policy implicationsSupport for research collaborationApplications in performance improvementOpportunities to reduce the provider documentation...Show More Summary

Building Unity Farm - The Powder House Keeper

One of the great benefits of owning a colonial era property is that you never know what you're going to find.James Bullard was born in Sherborn on August 25, 1762 and died on June 30, 1828. He's buried in our backyard.As I've written...Show More Summary

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