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Blog Profile / Life as a Healthcare CIO


URL :http://geekdoctor.blogspot.com/
Filed Under:Medical / Healthcare IT
Posts on Regator:915
Posts / Week:3.8
Archived Since:April 6, 2010

Blog Post Archive

Building Unity Farm - The Ducks

As the weather begins to improve (we’ve even had an afternoon above freezing - wahoo!), the ducks are beginning to wander farther from their duck house. This week, they discovered the rain cistern that collects runoff from our farmhouse roof.For hours, they’ll bathe, preen, and drink their fill of the circulating rainwater. Show More Summary

ACO Systemness and Integration

As Accountable Care Organizations take on risk contracts which align incentives to create continuous wellness rather than treat episodic sickness, there is a drive to create “systemness” by moving from acquisitions of practices and hospitals to integration. Show More Summary

Building Unity Farm - Managing wood

Last weekend I drove to West Bridgewater, MA and picked up a 500 pound SuperSplitter (J Model 6.5hp Honda engine). It’s now installed in the wood processing area with 10 cords of wood to be split on one side and 10 cords of self-built storage racks on the other. Show More Summary

Social, Mobile, Analytics, and Cloud

On Monday at HIMSS, I signed my new book, Life as a Heathcare CIO for 300 folks at HIMSS. During the rest of the day I met with numerous companies, leaders, and fellow IT professionals. The theme I heard frequently was the need for care management/population health applications based on data acquisition, normalization, mining, and workflow. Show More Summary

The Voluntary 2015 Edition Electronic Health Record Certification Criteria

There's nothing like a crisp New England winter evening, a roaring fire, a cup of cider, and a 242 page Notice of Proposed Rulemaking to fill your Friday night.I've summarized the preamble and all 50 criteria to save you time as you consider the proposals during the 60 day comment period. Show More Summary

Building Unity Farm - Planning for Spring

In the past 18 days, we've had 9 snow days. The small silver nub in the center of this picture is a yardstick placed in the snow on the patio. The squirrels can walk up to the bird feeder. It's time to have a heart to heart with the groundhog who suggested 6 more weeks of this. Show More Summary

The February HIT Standards Committee

The February HIT Standards Committee focused on development of the 2014 standards workplan, refinements to meaningful use stage 3 attestation/certification processes, and recommendations for standards to capture patient generated healthcare data.Jon Perlin led the workplan discussion. Show More Summary

Building Unity Farm - Managing the Woodland, Manure, and Bees in Winter

I've written about our winter preparations and keeping the animals healthy in the 6 months of sub- freezing weather we have in New England. It's been a particularly cold winter in Massachusetts. It's currently 2 degrees F and we're expecting...Show More Summary

Time for a New Optimism

Readers of my blog know that over the past year, I've written several posts warning about the burden of 2014 certification, the timing overlap of numerous federal programs including ICD10, and my observations that IT professionals/providers are at the breaking point. Show More Summary

Building Unity Farm - 'B' School Begins

As I mentioned last week, my wife and I have enrolled in an evening Bee school to formalize the beekeeping knowledge that to date we've picked up from books and our early experiences with 8 hives at Unity Farm.It's been a hard winter in Massachusetts. Show More Summary

Standards for Patient Generated Healthcare Data

At last week's Meaningful Use Workgroup meeting, Leslie Kelly Hall and I reviewed the HIT Standards Committee recommendations for patient generated healthcare data from online applications and devices.We offered guiding principles for Meaningful Use Stage 3 in general. Show More Summary

The Meaningful Use Workgroup Recommendations

Today at the HIT Policy Committee meeting, the Meaningful Use Workgroup will present its recommendations as part of the process leading to a final rule in 2015:Feb 2014: Draft stage 3 recommendations reviewed with HITPCMarch 2014: HITPC...Show More Summary

Building Unity Farm - Automation Arrives

Over the past few months, I've asked a dozen farmers what automation is best for Unity Farm's 15 acres of woodland management, manure movement, trail maintenance, food storage, and orchard harvesting. I received thirteen different answers...Show More Summary

Management Lessons Learned from A Game of Thrones

A Game of Thrones is the first novel in A Song of Ice and Fire, a series of high fantasy novels by American author George R. R. Martin.I rarely watch television, but for Christmas, my wife bought me Season 1 of Game of Thrones, the HBO series inspired by the novels. Show More Summary

Building Unity Farm - Winter Fermentations

It's the dead of winter in New England, with new snow on the ground and temperatures near zero. The animals are clustered together in their barn spaces and heated buckets are keeping their water liquid.There are many indoor tasks toShow More Summary

Advice to the New National Coordinator

Karen DeSalvo started as the new National Coordinator for Healthcare Information Technology on January 13, 2014. After my brief discussion with her last week, I can already tell she's a good listener, aware of the issues, and is passionate about using healthcare IT as a tool to improve population health. Show More Summary

Building Unity Farm - The Sounds of Unity Farm

Since moving to the farm in April of 2012, I've posted many pictures of our efforts to create a working farm in Sherborn, Massachusetts. Although it's winter, the farm still bustles with activity. To give you a sense of what I experience...Show More Summary

The Roles I Play

As 2014 begins, I marvel at the evolution of the CIO role from 1997 to 2014. Gone are the days when my role was to serve as technical expert, configuring web servers, optimizing data bases, or simplifying code. Gone are the days when product decisio nmaking depended on software architecture expertise to ensure scalability, reliability and security. Show More Summary

Building Unity Farm - Thinking about Automation

Every year at Unity Farm, I move 10000 pounds of manure, 10000 pounds of logs (18 inch segments), 10000 pounds of wood chips, and thousands of pounds of snow. I've done this to date using a hand cart and wheelbarrow. I turn 52 in a few...Show More Summary

The Next Phase of Healthcare Information Exchange

Today, Massachusetts Governor Deval Patrick will launch the next phase of healthcare information exchange (HIE) in Massachusetts - “Commonwealth Interconnected: Mass HIway Query and Retrieve”In Phase 1 of our state HIE project, we focused...Show More Summary

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