Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:846
Posts / Week:2.6
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Fourth Week of August 2016

Often people ask me how Kathy and I are able to care for 126 animals, grow half our food, and continuously develop 15 acres of wilderness into a farm. My wife took this photo after my recent orchard work which seems to indicate we have supernatural help! Last year we started the summer with 20 guinea fowl and ended the summer with 70 guinea fowl. Show More Summary

The August 2015 HIT Standards Committee

The August 2015 HIT Standards Committee marked the beginning of an important transition.As work on Meaningful Use winds down, it is being replaced with work on Obama’s signature precision medicine initiative and planning for the 2016...Show More Summary

Unity Farm Journal - Third Week of August 2016

As I’ve mentioned before, farmers really do not take vacations. Life on the farm is a vacation. Compared to the stresses and anxieties of the real time connected world, hauling hay, cleaning barnyards, and growing vegetables is meditation.During...Show More Summary

FY16 Strategic Planning

As we gather together stakeholders for strategic planning of next year’s priorities, what are we hearing and what we have learned?1. Clinicians are overwhelmed by the current demands of Meaningful Use, hundreds of quality measures, population health, care management, and patient/family engagement. Show More Summary

Unity Farm Journal - Second Week of August 2015

Although there really is no such thing as vacation for a farmer, I am trying to work from home on Mondays and Fridays in August. I saved on commute time and had a few hours free between phone calls to catch up on the University of Massachusetts Farming and Sustainability courses that my wife and I are taking. Show More Summary

Unity Farm Journal - First Week of August 2015

My daughter returns from Japan on Friday and we’ll hear all about her Summer traveling with David, her fiance. They plan to marry next year once Lara has finished her Tufts studies. Lara is a Japanese major. Will they live and work in Japan? The future is theirs to make. Show More Summary

The Security of Medical Devices

Last week the U.S. Food and Drug Administration advised hospitals not to use Hospira's Symbiq infusion system, concluding that a security vulnerability enables hackers to take remote control of the system. The agency issued the advisory some 10 days after the U.S. Show More Summary

Unity Farm Journal - Fourth Week of July 2015

Kathy and I have been hard at work with our University of Massachusetts coursework on farming and sustainability. Our first course, Post-harvest Handling of Fruits and Vegetables, has been a rigorous combination of science and practical experience. Show More Summary

When the Healthcare System Works

I was recently at a meeting where a colleague described a recent interaction with BIDMC.She had a traumatic injury on a weekend afternoon and suspected a fracture. Rather than visit an emergency department filled with high acuity patients,...Show More Summary

Unity Farm Journal - Third Week of July 2015

In yesterday’s blog post, I wrote about mobile devices and my own blood pressure variability. The one time that my blood pressure is normal is during a day of farm work. After hauling wood, planting/harvesting, caring for animals, maintaining...Show More Summary

Patient Generated Healthcare Data

I’ve often written about the IT strategies of Accountable Care Organizations and the need for a Care Management Medical Record which incorporates EHR data, patient generated data, customer relationship management features, protocols/guidelines...Show More Summary

Unity Farm Journal - Second Week of July 2015

Living on the farm means that every day is an adventure. As Forrest Gump said, “you never know what you’re going to get”.Last Thursday evening, at midnight, the Great Pyrenees began to bark with a cadence and volume that indicated a serious problem. Show More Summary

Trajectory not Position

In my various state, federal, and international roles I interact with a large number of policy makers from the executive and legislative branches of government. I testify to them, write policy papers, and call their support staff frequently.At...Show More Summary

Unity Farm Journal - First Week of July 2015

It’s a week for strategic planning. Just as I wrote a basic draft framework for FY16 BIDMC information systems, I’ve written a draft plan for the next year at Unity Farm.Here’s our best thinking as of July 2015:Unity Farm was founded on a few basic principles1. Show More Summary

Creating the FY16 BIDMC IS Strategic Plan

I recently wrote about the process of setting FY16 Clinical Information System Priorities for the next year. That project is proceeding well and in parallel I’ve created my own contribution. I do not want to influence the stakeholder...Show More Summary

Unity Farm Journal - Fifth Week of June 2015

I sometimes joke with my daughter that I finished 25th grade, doing 2 bachelor’s degrees, 2 masters degrees, an MD, and a fellowship. As a Harvard Professor, you’d think I would be done with sitting on the student side of the room.Last...Show More Summary

Managing Up

I took my first job at age 13, building model planes and skateboards at Palos Verdes Hobby Shop. Over the past 40 years, I’ve reported to over a dozen people. Some were inspirational and charismatic. Others were more task delegation oriented. Show More Summary

Cool Technology of the Week Special Edition

BIDMC has 4 Apple Watches (the inexpensive Sport model) for development and evaluation. Our programmers have 3 of them and I’m passing the 4th around to various folks including a 65 year old techie and a 22 year old digital native (my daughter Lara). Show More Summary

Unity Farm Journal - Fourth Week of June 2015

We brought our alpaca mom and new baby, Daisy and Danny, home after a brief thunderstorm cleared. Nature concluded what we’ve always known - Unity Farm is the end of the rainbow. Mom and baby are healthy, happy and content. Daisy has become an overprotective mom and Danny eats vigorously every hour. Show More Summary

The June 2015 HIT Standards Committee

The June 2015 HIT Standards Committee focused on celebrating the accomplishments of those individuals who have reached their federal advisory committee term limits. Most served 6 years:Dixie BakerAnne CastroMarty HarrisDavid McCallieStan...Show More Summary

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