Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:751
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Third Week of October 2014

Apple Season continues. This weekend we crushed 152 pounds of apples yielding 8 gallons (2.2 gallons per bushel), down a little from our last crush which yielded 2.4 gallons per bushel, likely because Baldwin apples are less juicy than...Show More Summary

Unity Farm Journal - 4th week of October, 2014

While I was in China at the beginning of the week, Kathy maintained the farm and all its activities. To prepare for Monday’s night’s frost, she picked all the mushrooms from our Shitake logs. Subtypes Miss Happiness, Native Harvest, and Night Velvet are all fruiting in large quantities. Show More Summary

Dispatch from China

On Monday and Tuesday I met with government, industry, and academic stakeholders in Qingdao and Shenzhen China to discuss healthcare technology, patient empowerment, and process improvement in the rapidly expanding Chinese healthcare system. Show More Summary

Wikipedia and Facebook for Clinical Documentation

Over the past several years I’ve written about the inadequate state of clinical documentation, which is largely unchanged since the days of Osler, (except for a bit more structure introduced by Larry Weed in the 1970s) and was created...Show More Summary

The October Joint Meeting of the Standards and Policy Committee

Today the future of interoperability was discussed and endorsed by a joint meeting of the Standards and Policy Committees.We began with a preamble clearly stating that the roadmap we’re working on is a process not a finished product....Show More Summary

Unity Farm Journal - Second Week of October 2014

Several important updates.Mint, one of our pregnant alpacas, had a false pregnancy. Although she gained weight and had all the features of a pregnant camelid, she is no longer pregnant. However, she is 30 pounds overweight and we’ll now have to restrict her access to grain. Show More Summary

The View from Underneath the Bus

EHR causes Ebola! EHRs hold data hostage in stovepiped legacy systems! There is no interoperability in America!How many headlines have you seen over the past month that are either completely false or a vast oversimplification of complex...Show More Summary

First Week of October 2014

Mornings are dark, temperatures are dropping, rain is more frequent, the apples are ripe, and the fireplace is glowing with coals every night. It’s Fall.Last weekend we picked 147 pounds of apples and made hard cider as follows8% Crab...Show More Summary

The Standards Committee Work Ahead

On October 15, the Policy Committee and Standards Committee will meet to review the draft interoperability roadmap that will guide our work in the post Meaningful Use era.The draft to be presented is a work in process and will be iteratively improved over the next 4 months with multi-stakeholder input. Show More Summary

Stakeholder’s Progress report for FHIR

The following blog entry is a guest post from Grahame Grieve, creator of Fast Healthcare Interoperability Resources (FHIR):"During the week of Sept 14th to 19th, HL7 held a working meeting during which the organization worked on further...Show More Summary

Unity Farm Journal - Fourth Week of September 2014

As we prepare for winter, we’re busy splitting wood, preparing the winter garlic beds, and finishing the building maintenance tasks for the cold and wet months ahead.We burn about 3 cords of wood each winter, all split from fallen trees on the farm. Show More Summary

You know Meaningful Use is Real When...

My 83 year old father-in-law returned from a recent outpatient visit to his primary care provider with two customized handouts - a transition of care summary detailing problems/meds/allergies and an opt-in consent for the exchange of...Show More Summary

Early Experiences with the iPhone 6

I’m truly not an “Apple fanboy”. I’m a believer in “do-acracy”, rewarding people and companies that create useful products which save me time.I stay objective about every company. I recently emailed one of my favorite companies which...Show More Summary

A Tale of Two Companies

The Apple Store on September 19th at 7:00am - the line on Boylston Street is over 1000 people long to purchase an iPhone 6. The Microsoft Store on September 19th at 10:30am - two employees are surfing the web on a Surface RT. The poster outside explains how Microsoft improves your iPhone.

Unity Farm Journal - Third Week of September 2014

Gluten free and Paleo diets seem to be the rage these days. I prefer Michael Pollan’s advice - eat food, not so much, mostly vegetables. It’s impossible for us to say if the real Paleo diet was raw wooly mammoth or the roots/berriesShow More Summary

The Path Forward for Query/Retrieve

In 2009, I wrote about The Genius of the AND in thinking about the different standards requirements of “Blue Button” versus "transitions of care". We accepted CCR and CCD for the first stage of Meaningful Use as a means of buying time...Show More Summary

Unity Farm Journal - Second Week of September 2014

As readers of my blog may have noticed from my infrequent posts, the past two weeks have been truly chaotic, filled with harvest and Fall planting activities during the transition from the dog days of Summer to the traffic filled first days of school. Show More Summary

The September HIT Standards Committee

The September HIT Standards Committee was one of the most important meetings in the history of the group. We heard pivotal reports from the NWIN Power Team about Query/Response standards as well as from the JASON Task Force. Together...Show More Summary

The Apple Platform for Wellness Arrives

Today I’m sitting at the Flint Center in Cupertino where Steve Jobs introduced the first MacIntosh 30 years ago. Who can forget the iconic commercial “why 1984 won’t be like 1984”? It was the year I graduated from college and the year...Show More Summary

New CMS rule allows flexibility in certified EHR technology for 2014

Today is my one day of Summer vacation, enabled by the large number of people taking a long labor day weekend.Some things are worth interrupting your vacation.This afternoon, CMS published he long awaited final rule on Meaningful Use...Show More Summary

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