Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:947
Posts / Week:2.3
Archived Since:April 6, 2010

Blog Post Archive

A Visit to Oscar Health

Today I’m in New York City visiting Oscar Health, on my continuing quest to determine how best to integrate digital platforms, patient-family engagement, and care coordination in preparation for MACRA/MIPS and the transformation from...Show More Summary

Unity Farm Journal - First Week of August 2016

The farm refrigerator is 25 years old and this weekend it finally failed. It had two working temperatures - too hot and too cold. After 25 years of hard work it had to be retired, since spare parts are no longer available. The new refrigerator...Show More Summary

My Guiding Principles

As I’ve aged and matured my approach to life, career, and family, I’ve evolved my rubric for organizing each day. Here’s what I’ve used for 2016Minimize lost timeAvoid commuting delays as much as possible - leave no later than 6:00am in the morning and return either before 3pm or after 7pm. Show More Summary

Unity Farm Journal - Fifth Week of July 2016

Have you ever heard the expression, “Sweating like a pig” when someone is sweating profusely?It’s a particularly strange statement since pigs don’t sweat much. They have sweat glands but they are not effective, so pigs wallow in mud to keep cool.This week in Massachusetts every day has been in the mid 90’s with heat indexes about 100F. Show More Summary

The Rise of Telemedicine

As reimbursement evolves from fee for service to alternative payment models, incentives will shift from treating sickness to keeping the population healthy. New investments will be made in technologies that reach into the home and enhance care team communication. Show More Summary

Unity Farm Journal - Fourth Week of July 2016

“Guineas for sale”Our Guinea fowl have been especially productive, so we’ve sent this message to all the Massachusetts farm mailing lists and posted signs at all the farmstands"Guinea Fowl Keets for Sale - 40 available now (born 7/6/16)Sturdy vigorous baby keets, no stressful shipping involved. Show More Summary

Care Coordination Innovation

Would you buy an iPhone if the only apps that ran on it were written by Apple? Maybe, but the functionality would not be very diverse.The same can be said of EHRs. Athena, Cerner, Epic, Meditech, and self developed EHRs such as BIDMC’s webOMR are purpose-built transaction engines for capturing data. Show More Summary

Unity Farm Journal - Third Week of July 2016

It’s the peak of summer with 90 degree temperatures and humidity that pushes the heat index to 100F. We’re also in a drought, so we’ve had to aggressively water the orchard, berries and hoop house. When we built all our agricultural areas we installed drip irrigation or microsprinklers as appropriate for the type of plant. Show More Summary

Do We Need More or Less Healthcare IT Regulation and Legislation?

Just as I clarified last week in my post about Certification, the answer to the question “do we need more or less healthcare IT regulation and legislation” is that we need the right amount of the right regulations/legislation.Sometimes...Show More Summary

Unity Farm Journal - Second Week of July 2016

As we scale up production of fruits, vegetables, honey, mushrooms, and compost, the key to our success is automation. It’s challenging for two people (my wife and I) to run 15 acres of organic agriculture and support 150 animals part time using only handtools and muscles. Show More Summary

An Alternative Proposal for Certification

Some have suggested that my comments over the past few months about the Meaningful Use program, MACRA/MIPS, and Certification imply that we should just give up - throw out the baby with the bath water.That’s not what I’ve written.Here’s...Show More Summary

Unity Farm Journal - First Week of July 2016

When running a farm you sometimes feel like MacGyver - given a few 2x4s, a piece of hardware cloth, and a box of bags, create a compost bagging machine. Every year, we produce about 10,000 pounds of organic compost from alpaca manure...Show More Summary

An EHR implementation of The Checklist Manifesto

Boston Physician Atul Gawande wrote The Checklist Manifesto in 2009 stressing that medicine should adopt “pilot’s checklists” to ensure that operating room teams are “ready for takeoff” before a scapel is ever opened.BIDMC implemented...Show More Summary

Unity Farm Journal - Fourth Week of June 2016

Unity Farm is now an organic certified producer of vegetables, herbs, mushrooms, nuts, fruits and seedlings! Here’s our official designation As I mentioned last week, I’m now doing increased documentation - daily logs of compost temperature...Show More Summary

Why Apple HealthKit in iOS 10 Makes View/Download/Transmit Real

Meaningful Use Stage 2 has a requirement that I’ve always considered to be the “cart before the horse” - patients must be able to View/Download/Transmit their data. Viewing is great - we’ve done at that at BIDMC since 1999 for all patients and all data. Show More Summary

Unity Farm Journal - Third Week of June 2016

The baby geese are now old enough to free range with their parents, so they are wandering through the forest and barnyard from 7am to 7pm, occassionally stopping for a pool party in the pond. We believe we have two male and one female young geese, bringing our total to 3 males and 4 females. Show More Summary

Why I Disagree with the Snake Oil Analogy

Earlier this week, the American Medical Association CEO called digital healthcare products modern-day "snake oil"As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today.Paul B. Show More Summary

Unity Farm Journal - Second Week of June 2016

This week we completed our organic inspection, which was very much like a Joint Commission visit. The “commissioners” arrived for a suprise inspection on a Monday morning. They covered hundreds of criteria from water purity to seed use to composting techniques. Show More Summary

A Time of Uncertainty

The upcoming presidential election has everyone spooked - what if Donald Trump is actually elected? What will the transition of administrations, regardless of who is elected mean to healthcare and existing healthcare IT regulations?Show More Summary

Unity Farm Journal - First Week of June 2016

My daughter's post wedding bliss was followed by the newlyweds move out of Tufts (Medford, MA) and a move into a new apartment in Brookline, MA. My son in law will be attending graduate school in the Longwood Medical Area. Over the past few years, I’ve worked on many moves - parental moves, our own moves, and now my daughter’s move. Show More Summary

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