Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:725
Posts / Week:2.8
Archived Since:April 6, 2010

Blog Post Archive

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

Unity Farm Journal - Third Week of July 2014

Although midsummer is a time of harvest, the focus of the past week has been on the birth of our new baby alpaca, Sunny. Our philosophy at Unity Farm is “living things first” - maintenance, infrastructure, and new projects must wait until all our living things are cared for.Sunny was born at 5pm on July 15 after an 11 1/2 month gestation. Show More Summary

The July meeting of the HIT Standards Committee

The July meeting of the HIT Standards Committee included important discussions of certification for post acute care and behavior health applications, review of data segmentation for privacy, analysis of provider directory standards,Show More Summary

A New Arrival at Unity Farm

Today at 5pm, our first baby alpaca was born at Unity Farm. She's 17 pounds and her name is Sunny. She's eating well and running around the paddock. The herd is caring for her attentively. My only role was caring for mom and ensuring the placenta was delivered intact. Here's a photo of her first steps.

Unity Farm Journal - Second Week of July 2014

I returned from Japan to find that 9 baby guineas (keets) raised by ducks had hatched. We have one adult white guinea and its genetics seem recessive - of the 100+ keets we’ve hatched there have been no whites. In this batch, we finally got a white. Show More Summary

Crafting a Next Generation IT strategy

During my 16 years as CIO, I’ve witnessed the transition from client server to web, from desktops to mobile, and from locally hosted to cloud. As Beth Israel Deaconess merges and acquires more hospitals, more practices and more careShow More Summary

On Top of Mt. Fuji

July 4 began with a breakfast meeting to discuss cloud computing with Japanese industry leaders. Japanese industry is ready to provide cloud solutions, but there are policy and adoption barriers including privacy protection, service level guarantees, and general distrust of the internet as a transport mechanism for healthcare data. Show More Summary

Unity Farm Journal - First week of July 2014

While I’m in Japan, Kathy has her hands full at Unity Farm. I did my best to prepare the farm for my 5 days away including building bee hive supplies, ensuring the health of all the animals, and completing all the monthly maintenance tasks.As I’ve posted before, Guinea fowl are horrible parents. Show More Summary

Dispatch from Tokyo

I’m in Japan today lecturing at the TOPOS Conference. per the request of several colleagues. Think of it as TED in Tokyo. I’ve been asked to discuss the Meaning of Life in an Aging Society without referencing Healthcare IT, which isShow More Summary

Unity Farm Journal - 4th week of June 2014

Last weekend, we had two days of clear, warm weather, perfect for harvesting vegetables, inoculating mushrooms, and caring for bees.We received 40 pounds of mushroom spawn from our supplier, Field and Forest, and we created two new mushroom areas - 4 raised beds of compost with Agaricus (almond mushroom) and 12 new stacks of logs with Oysters. Show More Summary

Interoperability in Real Life

On Monday afternoon my wife was speaking with my 82 year old father-in-law, when he began speaking in word salad - not slurring his words, but clearly speaking words that made no sense. He had no numbness or weakness, no confusion, and no change in consciousness. Show More Summary

Unity Farm Journal - Third Week of June 2014

With evenings lit by the amber hues of the June Honey Moon, we diligently worked on bees, hives, and honey over Father’s Day weekend.At the beginning of the weekend, we had 11 hives, but with the transfer of queen cells to prevent swarming...Show More Summary

The June HIT Standards Committee

The June HIT Standards Committee focused on an update and evaluation of the standards and interoperability framework initiatives, consistent with the overall theme of ONC’s recent reorganization and strategic plan to focus on fewer goals with a greater depth. Show More Summary

Unity Farm Journal - Second Week of June 2014

My wife and I did not think it was possible for a duck to hatch guinea fowl, but this week it happened.Guinea fowl are horrible parents.They lay their eggs in piles throughout the forest and then abandon them. Even if a “designated layer”...Show More Summary

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