Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:919
Posts / Week:2.6
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - First Week of May 2016

I’ll be 54 this month and this week we delivered 54 heads of organic lettuce to Tilly and Salvy’s, the local farm stand selling Unity Farm products. Who would have thought that my “portrait” would look like this at 54 Here’s what the fresh organic vegetabes growing at Unity Farm look like this week. Show More Summary

Unity Farm Journal - Fifth Week of April 2016

Unpredictable New England weather continues - we’ve had temps in the 70’s and temps below freezing. Hard frosts are tough on new leaves and buds, so we’re assuming the fruit tree crops will be diminished this year. We’ll hold off on hoop house planting of our tomatoes, peppers, and eggplants until the first week of May. Show More Summary

The MACRA Notice of Proposed Rulemaking

This afternoon, the MACRA Notice of Proposed Rulemaking was released. I'll publish a comprehensive analysis of the 900+ pages next week, but in the meantime, a few thoughts.The major ideas are:The ONC 2015 Certification Rule appliesShow More Summary

Being a Cancer Treatment Partner

Recently my wife was asked to advise one of our friends about the process of cancer treatment. As I wrote in my 2011 post about our family's experience with cancer, the treatment involves everyone close to the patient. Here are Kathy's...Show More Summary

Unity Farm Journal Fourth Week of April 2016

It’s Spring harvest time and we’ve been up at dawn gathering lettuce for delivery to Tilly and Salvy’s in Natick, our local farmstand. Tilly and Salvy’s is a fourth generation farm/farm stand and they have agreed to sell Unity Farm products including vegetables, mushrooms and our cider/mead. Show More Summary

Protecting Patient Information

In my 20 years as a CIO, my expertise has evolved to include infrastructure provisioning, software architecture, strategic planning, mobile application advocacy and cloud procurement. However, in recent years, my focus has been guided...Show More Summary

Unity Farm Journal - Third Week of April 2016

The Spring of 2016 continues to be highly volatile with hot, cold, snow/ice, and wind alternating, sometimes on the same day. The wet/heavy snow combined with 40mph winds caused one of our large poplars to fall. Although I do most of the forestry work at Unity Farm, I draw the line at activities that are likely to kill me. Show More Summary

Assessing Interoperability for MACRA

Dr. Larry Garber, Medical Director for Informatics at Reliant Medical Group penned this response to the HHS request for an assessment of interoperability needed to support MACRA.It’s so good that I wanted to share it with you as a guest...Show More Summary

Unity Farm Journal - Second Week of April 2016

I’ve returned to Unity Farm after another round of international travel - this week was 48 hours in the UK. It seems that every time I travel, the weather turns cold and Kathy is left to keep the animals safe and warm. A few hours before I boarded the plane, 4 inches of wet heavy snow covered the farm in a thick paste. Show More Summary

Dispatch from London

I’m in London today with Bob Wachter, Dave deBronkart, Julia Adler Milstein, David Brailer and others working on healthcare IT planning for the National Health Service England. The actual report will be crafted from now to June, butShow More Summary

Unity Farm Journal - First Week of April 2016

Our Spring projects are approaching completion just as the warm weather is about to return to winter. Over the weekend it will snow and on Monday it will be 16F.We’ve finished the new paddock, so now we have two pig areasThe Summer Swine Cottage, in the shade of pines with breezes coming off the drumlin. Show More Summary

Introducing Snapchart

Check out this game changer - Snapchart deletes patient information as soon as it’s viewed.What could be more secure than an empty EHR?Be sure to watch the video!

Evaluating Blockchain for Health Information Exchange

Yesterday, I read a New York Times article about a possible successor to Bitcoin called Ethereum, which provides a distributed database (no central repository) for the purpose of tracking financial transactions. I immediately thought...Show More Summary

Unity Farm Journal - Fourth Week of March 2016

I’ve returned from China and re-established my daily routine on the farm. In my absence Kathy kept the animals safe and warm. She watered and nurtured all the indoor and outdoor crops. She served as point of contact for all the people in our lives. Show More Summary

CareKit as an Enabler for Patient Generated Healthcare Data

As we move from fee for service to alternative payment models/value-based purchasing we will increasingly measure our progress based on outcomes and total medical expense. HealthKit was an enabler that led Beth Israel Deaconess to create...Show More Summary

Unity Farm Journal - Third Week of March 2016

Kathy has been running Unity Farm while I’ve been in Texas and China. The weather in Sherborn has been mild with light rain. The first round of newly germinated seeds is planted in the hoop house and enjoying the warmth of early Spring, Kathy is watering everything at the end of the day to keep the seedlings moist. Show More Summary

Dispatch from China

On Saturday I flew to South by Southwest for a keynote about cybersecurity. Luckily, President Obama warmed up the audience before I arrived and offered balanced remarks about the need to balance privacy and security. Two hours after my presentation, I flew to Hong Kong for all day meetings in Shenzhen. Show More Summary

Unity Farm Journal - Second Week of March 2016

Spring is here. Although we’ve not quite reached the vernal equinox (March 20), the temperatures this week have been consistently above freezing. The spring peepers are beginning their mating rituals in the vernal pond and their chorus is soothing us to sleep every night. Show More Summary

Another Perspective on HIMSS 2016

Several BIDMC System IT leaders attended HIMSS this year to help us select the most innovative solutions for our 5 strategic pillars. Manu Tandon, CIO of Beth Israel Deaconess Medical Center shared his notes with me and with his permission,...Show More Summary

Unity Farm Journal - First Week of March 2016

I’ve been traveling this week, so Kathy has been carrying the full weight of running Unity Farm. Here are her notes from the past few days“The mother coyote is raising another litter of kits and she’s clearly anxious to feed herself and them. Show More Summary

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