Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:792
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Second Week of March 2015

The thaw has begun. This week, for the first time in 2015, we’ll have daytime temperatures above freezing. The 8 foot snowbanks are starting to recede, although the Great Pyrenees can still look down on the 6 foot fences. As the snow melts, creatures are becoming more active. Show More Summary

Outcomes as a Service

On Monday, I wrote a brief op-ed for the Wall Street Journal about the reality of cloud computing. You can read the full article here.I classified cloud computing in three different conceptsInfrastructure as a Service (IaaS) - your applications...Show More Summary

Unity Farm Journal - First Week of March 2015

The snow, ice and sleet continues. February was the snowiest month we have ever had in Boston had with 64.8 inches. It was also the second-coldest February on record.I’ve attacked the endless frozen tundra of Unity Farm with the Terex front loader,an ice chipper, and a stainless steel SnowEx salt/sand spreader. Show More Summary

Resource Leveling

In an era when demand for IT services always exceeds supply, it’s important to triage incoming requests and allocate existing resources to completing the highest priority projects in the shortest time.Time, scope, and resources are the only three levers available to a CIO. Show More Summary

What is the Optimal Future Role for ONC?

As Meaningful Use winds down and incentive dollars are fully spent, what is the optimal role for ONC going forward?Some pundits have suggested that ONC step aside and return all aspects of HIT policy and technology to the private sector. Show More Summary

Unity Farm Journal - 4th week of February 2015

With Spring arriving in 23 days, the farm is beginning the transition from surviving the bitter cold to nesting and reproduction - the Birds and the Bees. First the Birds. I sent my daughter the picture below and asked her if she could...Show More Summary

Making Time for Innovation

CIOs are at a challenging crossroads in their careers. Regulatory burdens, security threats, and changing reimbursement models have led to a demand for change that seems overwhelming. As workflow pressures increase, it’s easy to declare...Show More Summary

Unity Farm Journal - Third Week of February 2015

What happened to the term “polar vortex”? Are we now beyond it into something more severe? Unity Farm has not had a day above freezing or a night above the single digits (often negative single digits) in over a month. The most simple...Show More Summary

Mobile Applications Update

I have long believed that social networking concepts, mobile devices, analytics, and cloud are key tactics for the success of any IT organization. We’re in an era as significant as the mainframe to PC revolution in which BYOD devices and apps are becoming the platform of choice. Show More Summary

Snow Update from Unity Farm

In the past few hours, another 17 inches has fallen. The temperature is 10F, but headed to -10F tonight. We have 30 mph winds.The creatures are warm and dry in the barn. All the feeders and waterers are full. I've picked fresh greens from the hoop house and given them to chickens, ducks, and guinea fowl.How did I do this?I put on my Mt. Show More Summary

Unity Farm Journal - Second Week of February 2015

Every time I step outside at Unity Farm, I want to sing “Let It Go, Let It Go…” since the world around is clearly Frozen. The icicles weigh more than 25 pounds. We’ve had over 72 inches of snow in the past 3 weeks. The top of the snow gauge is UNDER 3 feet of snow. Show More Summary

The February HIT Standards/HIT Policy Joint Meeting

The February HIT Standards Committee was a joint meeting with the HIT Policy Committee to align the policy and technology work ahead in 2015.Erica Galvez began the discussion by reviewing the recently published Interoperability Roadmap. Show More Summary

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

Copyright © 2015 Regator, LLC