Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:780
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - First week of February 2015

We’ve had nearly 4 feet of snow this week, sub zero temperatures and high winds. The barnyard looks like the grand canyon with piles of snow 7 feet high. The Terex PT-30 Compact Track Loader can lift 1000 pounds of snow at a time and we’ve cleared 2 acres of snow for all the creatures that live on the farm. Show More Summary

The athenahealth/BIDMC Collaboration

BIDMC has self-developed its core clinical information systems for many years. We certified all our applications for the 2011 and 2014 ONC criteria, attesting to Meaningful Use Stage 1 and 2 in every appropriate year. BIDMC has hundreds of person-years invested in our web-based, cloud-hosted in-patient and out-patient applications. Show More Summary

The Interoperability Roadmap

On Thursday, CMS announced their intent to update the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs for 2015 and beyond, reducing the reporting burden on providers, while supporting the long term goals of the program.On Friday, ONC released the Interoperability Roadmap and the Standards Advisory. Show More Summary

The January HIT Standards Committee

The January HIT Standards Committee focused on two important topics, the future of the Standards and Interoperability (S&I) Framework and the xtandards needed for provenance i.e. who generated the data and I can I trust it?Stan HuffShow More Summary

Unity Farm Journal - The 5th Week of January 2015

Several people have emailed me asking about my well being, given that my blog posts have been delayed this week. I’m fine - my excuse is snow. 30 inches over 15 acres is a lot of snow to move.From Tuesday to Wednesday this week, we had “Stormageddon”, zero degree temperatures, 40 mile per hour winds, and nearly 3 feet of snow in a 24 hour period. Show More Summary

Unity Farm Journal - 4th week of January 2015

The cold of late January has been hard on our living things and we’ve sorted all our produce to eliminate cold damaged fruits/vegetables in the hoop house, root cellar, and forest. The apples from this year’s harvest are still fairing well. Show More Summary

The Experience of Interoperability Thus Far

As I travel across the country and listen to CIOs struggling with mandates from Meaningful Use to ICD-10 to the HIPAA Omnibus rule to the Affordable Care Act, I'm always looking for ways to reduce the burden on IT leaders. All have expressed frustration with the health information exchange (HIE) policies and technologies for care coordination. Show More Summary

Unity Farm Journal - Third Week of January 2015

The third week of January is generally the coldest, most bitter time in the New England winter season. Temperatures dip to the single digits, snow/ice/winter mix cover the barnyard, and shoveling manure requires an ice chipper. Eggs laid overnight in the chicken or duck pen crack when they freeze solid. Show More Summary

Unity Farm Journal - Second Week of January 2015

It’s -6F this morning on the farm. We expect negative temperatures during the second and third week of January every year, so we have to prepare the animals, infrastructure, and equipment.The alpacas and dogs have the benefit of a small oil-filled space heater in the barn which raises the internal temperature of the building about 10 degrees. Show More Summary

Looking Forward in 2015

As an eternal optimist, I always look forward to the year ahead and forget the bruises of the year that has passed.What innovations can we expect in 2015?In previous posts, I’ve discussed the emergence of FHIR to support standardized query/response APIs for EHRs. Show More Summary

Unity Farm Journal - A look back at 2014

Just as 2014 was a technological whirlwind, so was life at Unity Farm.There was new life and death.My father in law died in November. One of our ducks died of pneumonia in December. 2 of our guinea fowl were captured by foxes.Sunny, our new alpaca was born on July 15, 2014 and now weights 50 pounds. Show More Summary

A Look Back at 2014

2014 was quite a year. Thinking back to December 2013, I cannot believe that so much has happened. Let’s take a look at the major HIT events that shaped 2014 and what they portend for 2015Affordable Care Act - despite challenges with...Show More Summary

Unity Farm Journal - Christmas at the Farm

It’s Christmas Day on Unity Farm and the every creature has had extra attention, special meals, and new toys.What better gift for our livestock guardian dogs (Great Pyrenees) than soft fluffy beds in the barn loft? As the pictures below illustrate, this was an ideal gift - the most fun they have had all year tearing each bed into a 1000 pieces. Show More Summary

Present Future Tense

I’m often asked by hedge funds, investors, and private equity firms to evaluate start ups based on their management savvy, product maturity, and business models.I’ve been on several calls with startups in 2014 in which the grammar was all “present future tense”"We will have a product that does…"My response to the investors is to clarify1. Show More Summary

Unity Farm Journal - Third Week of December 2014

On Sunday, December 21, 2014 astronomical winter begins in the Northern Hemisphere (and ends on March 19, 2015).All the animals and vegetables will be stressed for the next 100 days. It’s a cold and dark time that brings a struggle to survive. Show More Summary

The Argonaut Project Charter

Yesterday, a group of private sector stakeholders including athenahealth, Beth Israel Deaconess Medical Center, Cerner, Epic, Intermountain Health, Mayo Clinic, McKesson, MEDITECH, Partners Healthcare System, SMART at Boston Children’s...Show More Summary

Unity Farm Journal - Second Week of December 2014

The reality of farming is that it creates dependency on the farmer - animals, plants, and infrastructure need to be supported 365 days a year. This week, I had a failure of my personal anti-virus software (and my flu shot) and developed the 2014 flu. Show More Summary

The December HIT Standards Committee

The December HIT Standards Committee included a review of the draft Federal Health IT Strategic Plan, recommendations about identity management from the Transport and Security Workgroup, an overview of the Prescription Drug Monitoring...Show More Summary

Unity Farm Journal - First Week of December 2014

As the snow falls and windy/moist winter weather envelops the farm, the work has become a combination of managing warmth, tending the vegetables in the hoop house, and indoor activities. Woodlot management has become my major winterShow More Summary

Kindling FHIR

Today, at the HL7 Policy Conference, Chuck Jaffe announced The Argonauts Project, an effort to accelerate Fast Health Interoperability Resources (FHIR) in response to the 2013 JASON report, A Robust Health Data Infrastructure, the 2014...Show More Summary

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