Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:959
Posts / Week:3.7
Archived Since:April 6, 2010

Blog Post Archive

The July meeting of the HIT Standards Committee

The July meeting of the HIT Standards Committee included important discussions of certification for post acute care and behavior health applications, review of data segmentation for privacy, analysis of provider directory standards,Show More Summary

A New Arrival at Unity Farm

Today at 5pm, our first baby alpaca was born at Unity Farm. She's 17 pounds and her name is Sunny. She's eating well and running around the paddock. The herd is caring for her attentively. My only role was caring for mom and ensuring the placenta was delivered intact. Here's a photo of her first steps.

Unity Farm Journal - Second Week of July 2014

I returned from Japan to find that 9 baby guineas (keets) raised by ducks had hatched. We have one adult white guinea and its genetics seem recessive - of the 100+ keets we’ve hatched there have been no whites. In this batch, we finally got a white. Show More Summary

Crafting a Next Generation IT strategy

During my 16 years as CIO, I’ve witnessed the transition from client server to web, from desktops to mobile, and from locally hosted to cloud. As Beth Israel Deaconess merges and acquires more hospitals, more practices and more careShow More Summary

On Top of Mt. Fuji

July 4 began with a breakfast meeting to discuss cloud computing with Japanese industry leaders. Japanese industry is ready to provide cloud solutions, but there are policy and adoption barriers including privacy protection, service level guarantees, and general distrust of the internet as a transport mechanism for healthcare data. Show More Summary

Unity Farm Journal - First week of July 2014

While I’m in Japan, Kathy has her hands full at Unity Farm. I did my best to prepare the farm for my 5 days away including building bee hive supplies, ensuring the health of all the animals, and completing all the monthly maintenance tasks.As I’ve posted before, Guinea fowl are horrible parents. Show More Summary

Dispatch from Tokyo

I’m in Japan today lecturing at the TOPOS Conference. per the request of several colleagues. Think of it as TED in Tokyo. I’ve been asked to discuss the Meaning of Life in an Aging Society without referencing Healthcare IT, which isShow More Summary

Unity Farm Journal - 4th week of June 2014

Last weekend, we had two days of clear, warm weather, perfect for harvesting vegetables, inoculating mushrooms, and caring for bees.We received 40 pounds of mushroom spawn from our supplier, Field and Forest, and we created two new mushroom areas - 4 raised beds of compost with Agaricus (almond mushroom) and 12 new stacks of logs with Oysters. Show More Summary

Interoperability in Real Life

On Monday afternoon my wife was speaking with my 82 year old father-in-law, when he began speaking in word salad - not slurring his words, but clearly speaking words that made no sense. He had no numbness or weakness, no confusion, and no change in consciousness. Show More Summary

Unity Farm Journal - Third Week of June 2014

With evenings lit by the amber hues of the June Honey Moon, we diligently worked on bees, hives, and honey over Father’s Day weekend.At the beginning of the weekend, we had 11 hives, but with the transfer of queen cells to prevent swarming...Show More Summary

The June HIT Standards Committee

The June HIT Standards Committee focused on an update and evaluation of the standards and interoperability framework initiatives, consistent with the overall theme of ONC’s recent reorganization and strategic plan to focus on fewer goals with a greater depth. Show More Summary

Unity Farm Journal - Second Week of June 2014

My wife and I did not think it was possible for a duck to hatch guinea fowl, but this week it happened.Guinea fowl are horrible parents.They lay their eggs in piles throughout the forest and then abandon them. Even if a “designated layer”...Show More Summary

The ONC 10 Year Vision

On June 5th 2014, ONC released “Connecting Health and Care for the Nation: a 10-Year Vision to Achieve an Interoperable Health IT Infrastructure" The plan is divided in 3 year goals, 6 year goals, and 10 year goals. Five specific tactics...Show More Summary

Unity Farm Journal - First Week of June 2014

As Spring begins to transform into Summer, everything on the farm is a sea of green. As Paul Simon wrote in 1973 KodachromeThey give us those nice bright colorsThey give us the greens of summersMakes you think all the world'sa sunnyShow More Summary

The ONC Reorganization

Many people have asked me to explain the recent reorganization at ONC, reducing 17 different offices to 10:Office of Care Transformation: Kelly CroninOffice of the Chief Privacy Officer: Joy PrittsOffice of the Chief Operating Officer:...Show More Summary

Apple Enters the Healthcare Software Ecosystem

Here's a guest post by Dr. Henry Feldman from BIDMC's Division of Clinical Informatics:I am writing this from the Apple Worldwide Developer Conference (WWDC) today here in San Francisco, where I got to substitute for John Halamka at the Keynote (now I keep having urges to raise Alpacas); John missed the most amazing seats [front row center!]. Show More Summary

Unity Farm Journal - The 5th Week of May 2014

The Memorial Day weekend included shearing day on the farm. Every year in May, we trim 15 pounds of fiber from each alpaca, removing a body size “down jacket” just in time for Summer. The animals are transformed from teddy bears to Dr. Show More Summary

Early reaction to the Electronic Health Record Incentive NPRM

Last week, I posted the Notice of Proposed Rulemaking from CMS that offers flexibility to Meaningful Use attestation in 2014.Since then, I’ve received hundreds of emails about it from my fellow CIOs across the country. Here’s a summary:1. Show More Summary

Unity Farm Journal - 4th week of May 2014

Although I’m in China this week, farming never stops. I did everything I could to prepare the farm for my departure and Kathy has been busy this week skirting (cleaning) alpaca fiber, painting bee hive components, extracting honey, and harvesting vegetables. Show More Summary

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

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