Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:838
Posts / Week:2.6
Archived Since:April 6, 2010

Blog Post Archive

When the Healthcare System Works

I was recently at a meeting where a colleague described a recent interaction with BIDMC.She had a traumatic injury on a weekend afternoon and suspected a fracture. Rather than visit an emergency department filled with high acuity patients,...Show More Summary

Unity Farm Journal - Third Week of July 2015

In yesterday’s blog post, I wrote about mobile devices and my own blood pressure variability. The one time that my blood pressure is normal is during a day of farm work. After hauling wood, planting/harvesting, caring for animals, maintaining...Show More Summary

Patient Generated Healthcare Data

I’ve often written about the IT strategies of Accountable Care Organizations and the need for a Care Management Medical Record which incorporates EHR data, patient generated data, customer relationship management features, protocols/guidelines...Show More Summary

Unity Farm Journal - Second Week of July 2015

Living on the farm means that every day is an adventure. As Forrest Gump said, “you never know what you’re going to get”.Last Thursday evening, at midnight, the Great Pyrenees began to bark with a cadence and volume that indicated a serious problem. Show More Summary

Trajectory not Position

In my various state, federal, and international roles I interact with a large number of policy makers from the executive and legislative branches of government. I testify to them, write policy papers, and call their support staff frequently.At...Show More Summary

Unity Farm Journal - First Week of July 2015

It’s a week for strategic planning. Just as I wrote a basic draft framework for FY16 BIDMC information systems, I’ve written a draft plan for the next year at Unity Farm.Here’s our best thinking as of July 2015:Unity Farm was founded on a few basic principles1. Show More Summary

Creating the FY16 BIDMC IS Strategic Plan

I recently wrote about the process of setting FY16 Clinical Information System Priorities for the next year. That project is proceeding well and in parallel I’ve created my own contribution. I do not want to influence the stakeholder...Show More Summary

Unity Farm Journal - Fifth Week of June 2015

I sometimes joke with my daughter that I finished 25th grade, doing 2 bachelor’s degrees, 2 masters degrees, an MD, and a fellowship. As a Harvard Professor, you’d think I would be done with sitting on the student side of the room.Last...Show More Summary

Managing Up

I took my first job at age 13, building model planes and skateboards at Palos Verdes Hobby Shop. Over the past 40 years, I’ve reported to over a dozen people. Some were inspirational and charismatic. Others were more task delegation oriented. Show More Summary

Cool Technology of the Week Special Edition

BIDMC has 4 Apple Watches (the inexpensive Sport model) for development and evaluation. Our programmers have 3 of them and I’m passing the 4th around to various folks including a 65 year old techie and a 22 year old digital native (my daughter Lara). Show More Summary

Unity Farm Journal - Fourth Week of June 2015

We brought our alpaca mom and new baby, Daisy and Danny, home after a brief thunderstorm cleared. Nature concluded what we’ve always known - Unity Farm is the end of the rainbow. Mom and baby are healthy, happy and content. Daisy has become an overprotective mom and Danny eats vigorously every hour. Show More Summary

The June 2015 HIT Standards Committee

The June 2015 HIT Standards Committee focused on celebrating the accomplishments of those individuals who have reached their federal advisory committee term limits. Most served 6 years:Dixie BakerAnne CastroMarty HarrisDavid McCallieStan...Show More Summary

Driving Miss Daisy

It’s been a long weekend. Here’s the story of the birth of our new Alpaca, Dandelion Wine (Danny)On Thursday at 12:03pm, Kathy texted me the picture below and the message “HELP!” Mom had delivered the long legs of a new baby. I rushed...Show More Summary

Unity Farm Journal - Third Week of June 2015

Last week’s 3 inches of rain yielded this week’s 50 pounds of Shitake. Here’s a few photos of the massive mushroom harvest. The winecaps, agaricus, and wild mushrooms in our forest are also fruiting abundantly. Our permaculture efforts,...Show More Summary

Setting Clinical IT Priorities

In my previous writing, I’ve suggested that the federal government co-opted our Clinical IT agenda over the past three years with Meaningful Use Stage 2, ICD-10, the HIPAA Omnibus Rule, and the Affordable Care Act (ACA).Now that Stage...Show More Summary

Unity Farm Journal - Second Week of June 2015

It’s mid-June so the farm is filled with Summer greenery, rapidly growing fruits, new animal babies, a flurry of harvesting/planting activity, and beekeeping.Here’s a view of chives near the hoop house, ready for harvest. The orchard grass is growing so fast, we mow it weekly. Show More Summary

Standards Alone are not the Answer for Interoperability

Today I have the honor of presenting a guest blog by David McCallie MD, SVP Medical Informatics, Cerner. He summarizes the collective feeling of the industry about the trajectory of interoperability."I have been honored to have served on the HIT Standards Committee from its beginning in 2009. Show More Summary

Unity Farm Journal - First Week of June 2015

As I’ve written previously, running a farm is about life and death. When you’re supporting over 100 creatures, every day is filled with unpredictable events. This week, one of our chickens, Terra, developed “sour crop”.We treated her...Show More Summary

So What is Interoperability Anyway?

One of my most memorable experiences as an IT leader was working with with a dissatisfied customer. I asked what requirements were unmet, what features were priorities, and what future state was desired. The answer was “I’m not sure,...Show More Summary

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