Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:950
Posts / Week:3.7
Archived Since:April 6, 2010

Blog Post Archive

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

CMS Proposed Rule Adds Flexibility to Meaningful Use in 2014

Although I'm in China at the moment and it's 5am, the news from Washington is so important that I had to share it immediately.ONC and CMS have listened to the testimony offered by many stakeholders and have proposed a rule that elegantly...Show More Summary

Unity Farm Journal - Third Week of May 2014

Last Fall, Kathy and I inoculated 165 logs with 11 different subtypes of Shitake. The typical “spawn run” of Shitake is 1 year, so we expected our first early flushes of mushrooms in October. Imagine my surprise when I found that 5 subtypes fruited last weekend. Show More Summary

The JASON Report

On 4/09/2014, AHRQ released the JASON report, facilitated by Mitre. JASON is an independent group of scientists who advise the United States government on matters of science and technology.The intent of the report is to make recommendations for a new healthcare IT architecture to accelerate interoperability. Show More Summary

Unity Farm Journal - Second Week of May 2014

Last weekend was picture perfect spring weather - 50’s and 60’s with slight rain. The forest is leafing out and the flowers are blooming including the weeping cherry. Our “vole attack” of last week has a followup. Although we removed an adult vole from the hoop house, we did not consider the possibility that she had hidden offspring. Show More Summary

The Food and Drug Administration Safety and Innovation Act (FDASIA) Report

On April 3, HHS released the FDASIA report which presents a risk based framework for evaluating the safety of innovative devices and applications.In issuing the report, the FDA took a very balanced view and did not expand its regulatory scope. Show More Summary

Unity Farm Journal - First Week of May 2014

Temperatures in New England are warming, with most days in the 50’s and nights in the 40’s. Last weekend was spent installing 50,000 bees in new bee hives. The process of package installation is straightforward. First, the queen, who is kept in a separate small cage, is placed in the hive. Show More Summary

Security Priorities for 2014

In previous posts, I’ve described security as a process, not a project. It’s like a cold war that never ends with new threats every day requiring new countermeasures.As I survey the landscape in 2014, I see much more sophisticated attacks at the same time there is much more severe regulatory enforcement. Show More Summary

The April HITl Standards Committee meeting

The April Standards Committee began with a tribute to Jon Perlin, who is leaving his chair role of the HIT Standards Committee so that he can focus on his chair role at the American Hospital Association. Jacob Reider, Deputy National Coordinator will serve as the Standards committee chair. Show More Summary

Unity Farm Journal - 4th week of April 2014

The state of Massachusetts recognized Unity Farm as a 61A agricultural property this week, so 14 of our 15 acres is now deemed as a working, producing farm!On Easter Sunday, the ducks, chickens, and guinea fowl laid their eggs throughout the barnyard, giving my daughter the unusual experience of a completely natural egg hunt, pictured below. Show More Summary

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