Wes Rishel

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Archives for June, 2010


FAQ: NHIN Direct v. Meaningful Use Certification Requirements

by Wes Rishel  |  June 25, 2010  |  1 Comment

Dear Abby, The question is how SMTP as the preferred transport mechanism reconciles with the EHR certification criterion (in the IFR) that requires certified EHRs to use either SOAP or REST for HIE (i.e., §170.202 Transport standards for exchanging electronic health information). Just sign me “Puzzled in Peoria” Dear P in P, First, let’s be [...]

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

NHIN Direct: Response to Comment on Vendor Positions

by Wes Rishel  |  June 17, 2010  |  1 Comment

Today Anand Shroff replied to my prior post with some very provoking questions. I have added emphasis in quoting his reply. Wes – are you detecting a split between EMR vendors and HIE vendors? From where I sit, the HIE vendors should be fairly neutral about what gets picked, as long as there is a single [...]

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

NHIN Direct and Strange Bedfellows

by Wes Rishel  |  June 13, 2010  |  11 Comments

Sean Nolan’s blog highlights that NHIN Direct has stumbled on a “tough” decision. We didn’t come to agreement on the backbone protocol despite an absolutely outstanding process for increasing understanding as opposed to so many meetings where the opposite of speaking usually is not “listening” but “waiting to speak.” Sean characterized the split in the [...]

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

The PHR As a Model for Common Enrollment

by Wes Rishel  |  June 1, 2010  |  5 Comments

In Can IT Help Government Be Less Bureaucratic? I waxed optimistic about a government IT program that could significantly reduce the burden on constituents applying for government social services programs and opined that the same approach could be used for other interactions between people, businesses and the government. I spun this vision by extrapolating the [...]

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

Can IT Help Government Be Less Bureaucratic?

by Wes Rishel  |  June 1, 2010  |  2 Comments

Section 1561  of The Patient Protection and Affordable Care Act (Healthcare Reform) contains a section on healthcare IT standards for enrollment. The ultimate goal here is extremely valuable to constituents, to use application integration technologies to create a constituent-facing view of government IT systems that is less siloed than the systems themselves. This is important because [...]

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