Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:755
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

The November 2014 HIT Standards Committee

The November HIT Standards Committee focused on “asynchronous bilateral cutover” - the compatibility of different CCDA payloads, healthcare IT that supports long term services and support, an update on the Standards & Interoperability...Show More Summary

Unity Farm Journal Second Week of November 2014

The mood at Unity Farm has been somber this week with the death of my father-in-law on Sunday. He was a significant part of seasonal farm activities and was a kind of third parent to my daughter. His death from pancreatic cancer wasShow More Summary

Becoming the Oldest Living Generation

My father in law died yesterday. His final days were surrounded by family, without pain, and guided by his wishes. He spent 1 day in the ICU, 1 day in a hospital ward, and 1 day in hospice. The journey from eating dinner with the family to death was 1 week. Show More Summary

Dispatch from Europe

I’ve been on the road for the past few days, describing the importance of patient and family engagement using mobile applications to healthcare leaders in Europe. The dialog has been bidirectional. I learned a great deal about the technology and policy challenges in each country. Show More Summary

Unity Farm Journal - First Week of November 2014

When you’re a farmer, you’re often faced with the life, death, and sickness of those living things who depend on you.Recently, my father in law was diagnosed with a Stage IV Neuroendocrine Tumor on the head of the pancreas. Ironically, it’s the same disease that Steve Jobs experienced. Show More Summary

Unity Farm Journal - 5th Week of October 2014

One challenge of being a farmer is that the animals, plants and infrastructure need you 24x7x365. This Fall, I’ve had to travel to China (last week) and will be in Europe (London, Berlin, Copenhagen, and Amsterdam) next week.Last weekend...Show More Summary

The Changes at ONC and Next Steps

In 2014, there have been many changes at the Office of the National Coordinator.Although I do not have access to an organizational chart, I believe the leadership of ONC and the changes in 2014 are as followsNational Coordinator: Karen...Show More Summary

Unity Farm Journal - Third Week of October 2014

Apple Season continues. This weekend we crushed 152 pounds of apples yielding 8 gallons (2.2 gallons per bushel), down a little from our last crush which yielded 2.4 gallons per bushel, likely because Baldwin apples are less juicy than...Show More Summary

Unity Farm Journal - 4th week of October, 2014

While I was in China at the beginning of the week, Kathy maintained the farm and all its activities. To prepare for Monday’s night’s frost, she picked all the mushrooms from our Shitake logs. Subtypes Miss Happiness, Native Harvest, and Night Velvet are all fruiting in large quantities. Show More Summary

Dispatch from China

On Monday and Tuesday I met with government, industry, and academic stakeholders in Qingdao and Shenzhen China to discuss healthcare technology, patient empowerment, and process improvement in the rapidly expanding Chinese healthcare system. Show More Summary

Wikipedia and Facebook for Clinical Documentation

Over the past several years I’ve written about the inadequate state of clinical documentation, which is largely unchanged since the days of Osler, (except for a bit more structure introduced by Larry Weed in the 1970s) and was created...Show More Summary

The October Joint Meeting of the Standards and Policy Committee

Today the future of interoperability was discussed and endorsed by a joint meeting of the Standards and Policy Committees.We began with a preamble clearly stating that the roadmap we’re working on is a process not a finished product....Show More Summary

Unity Farm Journal - Second Week of October 2014

Several important updates.Mint, one of our pregnant alpacas, had a false pregnancy. Although she gained weight and had all the features of a pregnant camelid, she is no longer pregnant. However, she is 30 pounds overweight and we’ll now have to restrict her access to grain. Show More Summary

The View from Underneath the Bus

EHR causes Ebola! EHRs hold data hostage in stovepiped legacy systems! There is no interoperability in America!How many headlines have you seen over the past month that are either completely false or a vast oversimplification of complex...Show More Summary

First Week of October 2014

Mornings are dark, temperatures are dropping, rain is more frequent, the apples are ripe, and the fireplace is glowing with coals every night. It’s Fall.Last weekend we picked 147 pounds of apples and made hard cider as follows8% Crab...Show More Summary

The Standards Committee Work Ahead

On October 15, the Policy Committee and Standards Committee will meet to review the draft interoperability roadmap that will guide our work in the post Meaningful Use era.The draft to be presented is a work in process and will be iteratively improved over the next 4 months with multi-stakeholder input. Show More Summary

Stakeholder’s Progress report for FHIR

The following blog entry is a guest post from Grahame Grieve, creator of Fast Healthcare Interoperability Resources (FHIR):"During the week of Sept 14th to 19th, HL7 held a working meeting during which the organization worked on further...Show More Summary

Unity Farm Journal - Fourth Week of September 2014

As we prepare for winter, we’re busy splitting wood, preparing the winter garlic beds, and finishing the building maintenance tasks for the cold and wet months ahead.We burn about 3 cords of wood each winter, all split from fallen trees on the farm. Show More Summary

You know Meaningful Use is Real When...

My 83 year old father-in-law returned from a recent outpatient visit to his primary care provider with two customized handouts - a transition of care summary detailing problems/meds/allergies and an opt-in consent for the exchange of...Show More Summary

Early Experiences with the iPhone 6

I’m truly not an “Apple fanboy”. I’m a believer in “do-acracy”, rewarding people and companies that create useful products which save me time.I stay objective about every company. I recently emailed one of my favorite companies which...Show More Summary

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