Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:738
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

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

The August HIT Standards Committee

The August HIT Standards Committee focused on the work ahead to accelerate interoperability. It’s no longer about Meaningful Use, it’s about Meaningful healthcare information exchange. I offered my opinion about the work ahead. ONC is...Show More Summary

Unity Farm Journal - 4th week of August 2014

Over the past week, the combination of rain and cool Fall-like temperatures caused our 165 shitake logs to fruit, resulting in over 50 pounds of fresh mushrooms. We inoculated 5 tons of oak logs last August and throughout the year have had a few pounds to deliver to local farm stands. Show More Summary

Unity Farm Journal - Third Week of August 2014

As a doctor for over 20 years, I’ve learned how to treat critical healthcare issues. As a father, son, and husband I’ve learned how to support my own family through injury, sickness, and death.As a farmer responsible for over 100 animals, life and death are part of the daily experience.Sunny, our baby alpaca, is now doing extremely well. Show More Summary

The Meaningful Use Stage 2 Finish Line

Hospitals across the country have until September 30 to complete their 2014 reporting period for Meaningful Use Stage 2.Recently Ashish Jha and Julia Adler-Milstein published important articles in Health Affairs about the current state of EHRs and Health Information Exchange. Show More Summary

Unity Farm Journal - First Week of August 2014

We continue to be on cria watch, as our last pregnant alpaca, Mint, waddles around the paddock. The alpaca gestation period is 11.5 months and Mint is just about there.Just as 17 keets (baby guineas) appeared from the forest last week, 10 appeared this week. Show More Summary

Sunshine Act/Conflict of Interest

As with previous years, it’s time to openly publish my conflict of interests, board memberships, advisory board positions, and government activities so that anyone reading my opinions has full transparency.The federal government has made financial disclosure very easy with the Sunshine Act. Show More Summary

Unity Farm Journal - 5th Week of July 2014

The great thing about running a farm is that every day is filled with the unexpected.Sunny, our new baby alpaca did not consume her first meal of mother’s milk in time to receive the antibodies that are necessary to keep her healthy....Show More Summary

Real Time Big Data Analytics for Clinical Care

Over the summer, I’ve given many lectures about SMAC - social media, mobile, analytics and cloud computing.The most popular analytics topics are business intelligence, big data, and novel data visualizations.Recently, Dr. Chris Longhurst,...Show More Summary

There’s More to ePrescribing Standards Than You Think

In followup to my guest post from Dr. Marvin Harper about e-Prescribing gaps, John Klimek, R.Ph., Senior VP, Standards and Information Technology, NCPDP wrote the following helpful guest post: The National Council for Prescription Drug Programs (NCPDP) leaders and members read with interest the guest post from Dr. Show More Summary

Unity Farm Journal - 4th week of July 2014

Just as running a winery isn’t all romance, art, and elegance, running a farm is not all romping with your animals, a joyful harvest, and making a profit from the fruits of your labor.Farming is hard work year round, during the hot humid days of summer, the wet days of Spring/Fall and the chill of winter. Show More Summary

Patient Generated Data Goes Mainstream

Since 1999, Patientsite, the BIDMC shared record between doctor and patient, has enabled patients to track blood pressure, glucometer readings, activities of daily living, mood, pain etc. but few patients have used those features.Why?...Show More Summary

Limitations of e-Prescribing Standards

The following is an important guest post from Dr. Marvin Harper, CMIO at Boston Children's Hospital, identifying a gap in e-prescribing standards:Why am I guest writing a blog post here? As a practicing pediatrician and CMIO at Boston...Show More Summary

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