Wes Rishel

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Archives for December, 2009


Simple Interop: the PHR

by Wes Rishel  |  December 31, 2009  |  4 Comments

This post seeks not to define the full scope of interactions of a PHR but simply to define a simple connection between PHRs and other health IT systems. We make two claims for this approach. (1) it greatly simplifies the roll-out of connections between PHRs and other healthcare IT systems, thus accelerating the roll-out of [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , , , , ,

Simple Interop: Definitions

by Wes Rishel  |  December 30, 2009  |  2 Comments

There are many definitions to certain common terms associated with healthcare information exchange. These are definitions that I am using in preparing the “simple interop” series of posts. These definitions will not necessarily be suitable for other purposes and are not necessarily consistent with the other sources, including Gartner research notes. Health domain name a [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , , , ,

Simple Interop: A Post-Holiday Review

by Wes Rishel  |  December 28, 2009  |  Comments Off

Like most of us, I have been enjoying holidays with family. My computational efforts have been confined to bringing the awesome processing power of a Canon 7D DSLR and Adobe Lightroom to bear on snapshots of grandchildren, ages 3 and 6, opening presents. (Just a hint of grandparental pride: it was a delight to see [...]

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Category: Uncategorized     Tags: , , , , , , , , , , ,

Simple Interop: Why We Don’t Seek a Top Level Domain Name

by Wes Rishel  |  December 20, 2009  |  3 Comments

Since Simple Interop: The Health Internet Node was posted there has been a very thoughtful thread on the notion of having a top level domain (TLD) for healthcare. In the original post I thought I was pretty clear that we did not think this is a good idea, but in a separate posting I can [...]

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Category: Healthcare Providers Interoperability Uncategorized Vertical Industries     Tags: , , , , , , , , ,

Simple Interop: The Health Internet Node

by Wes Rishel  |  December 15, 2009  |  20 Comments

In Simple Interop: How To Go About It I talked about a simple interop model. Today’ post is a proposal for how to exploit the power of the Internet to the max while adding adequate security. McCallie and I offer it to all those who would listen. The diagram at the end of this post [...]

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Category: Healthcare Providers Interoperability Uncategorized Vertical Industries     Tags: , , , , , , ,

Simple Interop: How To Go About It

by Wes Rishel  |  December 13, 2009  |  4 Comments

Simple Interop: My Boggle-Busting Goal recapped the rationale for this “Simple Interop” thread. In On eBay, the Fax and Healthcare Interop I turned my own attitude around about that oft-deprecated bedrock of healthcare interoperability, the fax machine. Specifically I pointed out fax it is a hard technology to beat when you consider ubiquity and simplicity. [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , ,

Simple Interop: My Boggle-Busting Goal

by Wes Rishel  |  December 13, 2009  |  Comments Off

My favorite text on business management was published 30 years go and is now out of print. It is Muddling Through: Art of Properly Unbusinesslike Management by Roger Golde (ISBN-13: 978-0814475232). Golde argues that some problems are just too big. He calls these “boggles.” The best approach for a boggle is to back off, solve [...]

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Category: Uncategorized     Tags: , , , , , , ,

Simplified Interop: You Want it When?

by Wes Rishel  |  December 3, 2009  |  2 Comments

Is there an IT person who hasn’t chuckled at a thumbtacked picture of these little guys’ response to “you want it when?” Managers tell us Real IT Folks when they think they need to have it and we give it to them when we can (chuckle). The only REAL deadlines we have ever faced are [...]

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Category: Healthcare Providers Interoperability Uncategorized Vertical Industries     Tags: , , , , , , , , ,

Guest David McCallie on Simplifying Interop

by Wes Rishel  |  December 1, 2009  |  19 Comments

Here is a simplified framework for analysis of HIE data interchange

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Category: Interoperability Vertical Industries     Tags: , , , , , , , ,