Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:943
Posts / Week:2.4
Archived Since:April 6, 2010

Blog Post Archive

The Rise of Telemedicine

As reimbursement evolves from fee for service to alternative payment models, incentives will shift from treating sickness to keeping the population healthy. New investments will be made in technologies that reach into the home and enhance care team communication. Show More Summary

Unity Farm Journal - Fourth Week of July 2016

“Guineas for sale”Our Guinea fowl have been especially productive, so we’ve sent this message to all the Massachusetts farm mailing lists and posted signs at all the farmstands"Guinea Fowl Keets for Sale - 40 available now (born 7/6/16)Sturdy vigorous baby keets, no stressful shipping involved. Show More Summary

Care Coordination Innovation

Would you buy an iPhone if the only apps that ran on it were written by Apple? Maybe, but the functionality would not be very diverse.The same can be said of EHRs. Athena, Cerner, Epic, Meditech, and self developed EHRs such as BIDMC’s webOMR are purpose-built transaction engines for capturing data. Show More Summary

Unity Farm Journal - Third Week of July 2016

It’s the peak of summer with 90 degree temperatures and humidity that pushes the heat index to 100F. We’re also in a drought, so we’ve had to aggressively water the orchard, berries and hoop house. When we built all our agricultural areas we installed drip irrigation or microsprinklers as appropriate for the type of plant. Show More Summary

Do We Need More or Less Healthcare IT Regulation and Legislation?

Just as I clarified last week in my post about Certification, the answer to the question “do we need more or less healthcare IT regulation and legislation” is that we need the right amount of the right regulations/legislation.Sometimes...Show More Summary

Unity Farm Journal - Second Week of July 2016

As we scale up production of fruits, vegetables, honey, mushrooms, and compost, the key to our success is automation. It’s challenging for two people (my wife and I) to run 15 acres of organic agriculture and support 150 animals part time using only handtools and muscles. Show More Summary

An Alternative Proposal for Certification

Some have suggested that my comments over the past few months about the Meaningful Use program, MACRA/MIPS, and Certification imply that we should just give up - throw out the baby with the bath water.That’s not what I’ve written.Here’s...Show More Summary

Unity Farm Journal - First Week of July 2016

When running a farm you sometimes feel like MacGyver - given a few 2x4s, a piece of hardware cloth, and a box of bags, create a compost bagging machine. Every year, we produce about 10,000 pounds of organic compost from alpaca manure...Show More Summary

An EHR implementation of The Checklist Manifesto

Boston Physician Atul Gawande wrote The Checklist Manifesto in 2009 stressing that medicine should adopt “pilot’s checklists” to ensure that operating room teams are “ready for takeoff” before a scapel is ever opened.BIDMC implemented...Show More Summary

Unity Farm Journal - Fourth Week of June 2016

Unity Farm is now an organic certified producer of vegetables, herbs, mushrooms, nuts, fruits and seedlings! Here’s our official designation As I mentioned last week, I’m now doing increased documentation - daily logs of compost temperature...Show More Summary

Why Apple HealthKit in iOS 10 Makes View/Download/Transmit Real

Meaningful Use Stage 2 has a requirement that I’ve always considered to be the “cart before the horse” - patients must be able to View/Download/Transmit their data. Viewing is great - we’ve done at that at BIDMC since 1999 for all patients and all data. Show More Summary

Unity Farm Journal - Third Week of June 2016

The baby geese are now old enough to free range with their parents, so they are wandering through the forest and barnyard from 7am to 7pm, occassionally stopping for a pool party in the pond. We believe we have two male and one female young geese, bringing our total to 3 males and 4 females. Show More Summary

Why I Disagree with the Snake Oil Analogy

Earlier this week, the American Medical Association CEO called digital healthcare products modern-day "snake oil"As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today.Paul B. Show More Summary

Unity Farm Journal - Second Week of June 2016

This week we completed our organic inspection, which was very much like a Joint Commission visit. The “commissioners” arrived for a suprise inspection on a Monday morning. They covered hundreds of criteria from water purity to seed use to composting techniques. Show More Summary

A Time of Uncertainty

The upcoming presidential election has everyone spooked - what if Donald Trump is actually elected? What will the transition of administrations, regardless of who is elected mean to healthcare and existing healthcare IT regulations?Show More Summary

Unity Farm Journal - First Week of June 2016

My daughter's post wedding bliss was followed by the newlyweds move out of Tufts (Medford, MA) and a move into a new apartment in Brookline, MA. My son in law will be attending graduate school in the Longwood Medical Area. Over the past few years, I’ve worked on many moves - parental moves, our own moves, and now my daughter’s move. Show More Summary

Making a Difference

When my father died 3 years ago, my comments at his funeral noted that the greatest aspiration any of us can have is to make a difference in the world. My father’s life made a difference. I’m always self critical and analyzing my own life. Show More Summary

Unity Farm Journal - Fourth Week of May 2016

What is the definition of the perfect wedding? Joy, love, happiness, inspriration and energy are felt by everyone? Families come together without conflict, embarrasment, or awkwardness? The guinea fowl avoid flying over the guests?If...Show More Summary

A Zero Tolerance Policy for Business Spam

In 2011 and 2012 I wrote about the increasing problem of Business Spam - unsolicited, unconsented advertising that has grown in volume to the point that it constitutes more than half of my email. In 2016, I’ve done an experiment - I’ve not opted in to any newsletter, any website offering notifications or any vendor offering information. Show More Summary

A Multi-Stakeholder Discussion in Washington

On Thursday, I spent the day in Washington with a group of government, provider, and developer sttakeholders convened by the Institute of Healthcare Improvement. We operated under Chatham House Rules, so I can summarize the discussion but not identify any of the participants or their specific statements. Show More Summary

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