Blog Profile / Life as a Healthcare CIO

Filed Under:Medical / Healthcare IT
Posts on Regator:768
Posts / Week:2.7
Archived Since:April 6, 2010

Blog Post Archive

Unity Farm Journal - Christmas at the Farm

It’s Christmas Day on Unity Farm and the every creature has had extra attention, special meals, and new toys.What better gift for our livestock guardian dogs (Great Pyrenees) than soft fluffy beds in the barn loft? As the pictures below illustrate, this was an ideal gift - the most fun they have had all year tearing each bed into a 1000 pieces. Show More Summary

Present Future Tense

I’m often asked by hedge funds, investors, and private equity firms to evaluate start ups based on their management savvy, product maturity, and business models.I’ve been on several calls with startups in 2014 in which the grammar was all “present future tense”"We will have a product that does…"My response to the investors is to clarify1. Show More Summary

Unity Farm Journal - Third Week of December 2014

On Sunday, December 21, 2014 astronomical winter begins in the Northern Hemisphere (and ends on March 19, 2015).All the animals and vegetables will be stressed for the next 100 days. It’s a cold and dark time that brings a struggle to survive. Show More Summary

The Argonaut Project Charter

Yesterday, a group of private sector stakeholders including athenahealth, Beth Israel Deaconess Medical Center, Cerner, Epic, Intermountain Health, Mayo Clinic, McKesson, MEDITECH, Partners Healthcare System, SMART at Boston Children’s...Show More Summary

Unity Farm Journal - Second Week of December 2014

The reality of farming is that it creates dependency on the farmer - animals, plants, and infrastructure need to be supported 365 days a year. This week, I had a failure of my personal anti-virus software (and my flu shot) and developed the 2014 flu. Show More Summary

The December HIT Standards Committee

The December HIT Standards Committee included a review of the draft Federal Health IT Strategic Plan, recommendations about identity management from the Transport and Security Workgroup, an overview of the Prescription Drug Monitoring...Show More Summary

Unity Farm Journal - First Week of December 2014

As the snow falls and windy/moist winter weather envelops the farm, the work has become a combination of managing warmth, tending the vegetables in the hoop house, and indoor activities. Woodlot management has become my major winterShow More Summary

Kindling FHIR

Today, at the HL7 Policy Conference, Chuck Jaffe announced The Argonauts Project, an effort to accelerate Fast Health Interoperability Resources (FHIR) in response to the 2013 JASON report, A Robust Health Data Infrastructure, the 2014...Show More Summary

Unity Farm Journal - Thanksgiving 2014

As a vegan farmer in a vegetarian household, I’m always asked some thoughtful Thanksgiving questions.“How do you serve Guinea Fowl?”This is a very challenging question to answer because there is not much literature on the subject. We...Show More Summary

Unity Farm Journal - Third Week of November 2014

The polar vortex has arrived at Unity Farm and it’s 20F. All standing water has frozen and all outdoor plants have gone dormant. The ducks are confused by their frozen pond but the Great Pyrenees and Alpacas are loving the cooler temperatures which approximate their native mountain environments. Show More Summary

The November 2014 HIT Standards Committee

The November HIT Standards Committee focused on “asynchronous bilateral cutover” - the compatibility of different CCDA payloads, healthcare IT that supports long term services and support, an update on the Standards & Interoperability...Show More Summary

Unity Farm Journal Second Week of November 2014

The mood at Unity Farm has been somber this week with the death of my father-in-law on Sunday. He was a significant part of seasonal farm activities and was a kind of third parent to my daughter. His death from pancreatic cancer wasShow More Summary

Becoming the Oldest Living Generation

My father in law died yesterday. His final days were surrounded by family, without pain, and guided by his wishes. He spent 1 day in the ICU, 1 day in a hospital ward, and 1 day in hospice. The journey from eating dinner with the family to death was 1 week. Show More Summary

Dispatch from Europe

I’ve been on the road for the past few days, describing the importance of patient and family engagement using mobile applications to healthcare leaders in Europe. The dialog has been bidirectional. I learned a great deal about the technology and policy challenges in each country. Show More Summary

Unity Farm Journal - First Week of November 2014

When you’re a farmer, you’re often faced with the life, death, and sickness of those living things who depend on you.Recently, my father in law was diagnosed with a Stage IV Neuroendocrine Tumor on the head of the pancreas. Ironically, it’s the same disease that Steve Jobs experienced. Show More Summary

Unity Farm Journal - 5th Week of October 2014

One challenge of being a farmer is that the animals, plants and infrastructure need you 24x7x365. This Fall, I’ve had to travel to China (last week) and will be in Europe (London, Berlin, Copenhagen, and Amsterdam) next week.Last weekend...Show More Summary

The Changes at ONC and Next Steps

In 2014, there have been many changes at the Office of the National Coordinator.Although I do not have access to an organizational chart, I believe the leadership of ONC and the changes in 2014 are as followsNational Coordinator: Karen...Show More Summary

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

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