Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:929
Posts / Week:2.5
Archived Since:April 6, 2010

Blog Post Archive

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

Making a Difference

When my father died 3 years ago, my comments at his funeral noted that the greatest aspiration any of us can have is to make a difference in the world. My father’s life made a difference. I’m always self critical and analyzing my own life. Show More Summary

Unity Farm Journal - Fourth Week of May 2016

What is the definition of the perfect wedding? Joy, love, happiness, inspriration and energy are felt by everyone? Families come together without conflict, embarrasment, or awkwardness? The guinea fowl avoid flying over the guests?If...Show More Summary

A Zero Tolerance Policy for Business Spam

In 2011 and 2012 I wrote about the increasing problem of Business Spam - unsolicited, unconsented advertising that has grown in volume to the point that it constitutes more than half of my email. In 2016, I’ve done an experiment - I’ve not opted in to any newsletter, any website offering notifications or any vendor offering information. Show More Summary

A Multi-Stakeholder Discussion in Washington

On Thursday, I spent the day in Washington with a group of government, provider, and developer sttakeholders convened by the Institute of Healthcare Improvement. We operated under Chatham House Rules, so I can summarize the discussion but not identify any of the participants or their specific statements. Show More Summary

Unity Farm Journal - Third Week of May 2016

Wedding plans have occupied much of this week at Unity Farm, ensuring that my daughter’s marriage weekend has perfect logistics. A wedding on a farm is more challenging than you think - how do you prevent flying guinea fowl from leaving...Show More Summary

Rethinking MACRA, a follow up

In my blog posts, I speak from the heart without a specific political or economic motivation. Although I’ve not written about highly controversial subjects such as religion, gun control, or reproductive policy, some of the topics in my posts can be polarizing. Show More Summary

Unity Farm Journal - Second Week of May 2016

It’s Spring so it’s time for new farm babies. Welcome Athena and Apollo, two baby geese born this week. They have the benefit of 3 mothers and 1 father watching over them. The adults took them to the pond and taught them how to swim within a few hours after hatching. Show More Summary

A Deep Dive on the MACRA NPRM

As promised last week, I’ve read and taken detailed notes on the entire 962 page MACRA NPRM so that you will not have to.Although this post is long, it is better than the 20 hours of reading I had to do!Here is everything you need to know from an IT perspective about the MACRA NPRM.1. Show More Summary

Unity Farm Journal - First Week of May 2016

I’ll be 54 this month and this week we delivered 54 heads of organic lettuce to Tilly and Salvy’s, the local farm stand selling Unity Farm products. Who would have thought that my “portrait” would look like this at 54 Here’s what the fresh organic vegetabes growing at Unity Farm look like this week. Show More Summary

Unity Farm Journal - Fifth Week of April 2016

Unpredictable New England weather continues - we’ve had temps in the 70’s and temps below freezing. Hard frosts are tough on new leaves and buds, so we’re assuming the fruit tree crops will be diminished this year. We’ll hold off on hoop house planting of our tomatoes, peppers, and eggplants until the first week of May. Show More Summary

The MACRA Notice of Proposed Rulemaking

This afternoon, the MACRA Notice of Proposed Rulemaking was released. I'll publish a comprehensive analysis of the 900+ pages next week, but in the meantime, a few thoughts.The major ideas are:The ONC 2015 Certification Rule appliesShow More Summary

Being a Cancer Treatment Partner

Recently my wife was asked to advise one of our friends about the process of cancer treatment. As I wrote in my 2011 post about our family's experience with cancer, the treatment involves everyone close to the patient. Here are Kathy's...Show More Summary

Unity Farm Journal Fourth Week of April 2016

It’s Spring harvest time and we’ve been up at dawn gathering lettuce for delivery to Tilly and Salvy’s in Natick, our local farmstand. Tilly and Salvy’s is a fourth generation farm/farm stand and they have agreed to sell Unity Farm products including vegetables, mushrooms and our cider/mead. Show More Summary

Protecting Patient Information

In my 20 years as a CIO, my expertise has evolved to include infrastructure provisioning, software architecture, strategic planning, mobile application advocacy and cloud procurement. However, in recent years, my focus has been guided...Show More Summary

Unity Farm Journal - Third Week of April 2016

The Spring of 2016 continues to be highly volatile with hot, cold, snow/ice, and wind alternating, sometimes on the same day. The wet/heavy snow combined with 40mph winds caused one of our large poplars to fall. Although I do most of the forestry work at Unity Farm, I draw the line at activities that are likely to kill me. Show More Summary

Assessing Interoperability for MACRA

Dr. Larry Garber, Medical Director for Informatics at Reliant Medical Group penned this response to the HHS request for an assessment of interoperability needed to support MACRA.It’s so good that I wanted to share it with you as a guest...Show More Summary

Unity Farm Journal - Second Week of April 2016

I’ve returned to Unity Farm after another round of international travel - this week was 48 hours in the UK. It seems that every time I travel, the weather turns cold and Kathy is left to keep the animals safe and warm. A few hours before I boarded the plane, 4 inches of wet heavy snow covered the farm in a thick paste. Show More Summary

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