by Wes Rishel | August 3, 2010 | 1 Comment
I received an email from Jonathan Perlin, commenting on the yesterday’s post on CDS and “Stupid Questions”. It was based on his pioneering experience with CDS, has helped me to better understand ways in which an EHR can assure that CDS does not devolve to being “stupid questions.” I am fatiguing of hearing “alert fatigue” [...]
Category: Healthcare Providers Uncategorized Vertical Industries Tags: EHR, Healthcare Interoperability, Meaningful Use
by Wes Rishel | August 1, 2010 | 11 Comments
Dick Taylor, the CMIO at Providence Health and Services Oregon Region has been speaking to this principle of usability for some time. “No Stupid Questions: remember why your clinical users came to work today, and honor their needs.” Until recently I had been filing this under “obvious but impractical.” Recently I had a chance to [...]
Category: Healthcare Providers Uncategorized Vertical Industries Tags: clinical decision support, EHR, EMR, usability
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: ARRA, EHR, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN Direct
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, EMR, Healthcare Interoperability, Healthcare Providers, Healthcare Reform, HIE, Meaningful Use, NHIN, NHIN Direct, Stimulus
by Wes Rishel | January 15, 2010 | 2 Comments
This is a sermonette on what can be accomplished absent EHRs and an HIE when there is a a strong leader in a leadable community. In It Takes A Region CD-Rom: Improving Chronic Illness Care the Robert Wood Johnson foundation proselytizes work it sponsored on regional approaches to managing chronic disease by the Wagner model. [...]
Category: Uncategorized Tags:
by Wes Rishel | January 4, 2010 | 1 Comment
In Simple Interop: Use Cases we set the challenge of communicating among people and Health IT systems in a manner that does not create a “walled community” where all those that practice with EHRs and HIEs have no ability to use the Internet to communicate with those that don’t. The biggest challenge in such a [...]
Category: Healthcare Providers Uncategorized Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, NHIN, personal health record, PHR, Stimulus
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: ARRA, EHR, EMR, Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, NHIN, Stimulus
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: ARRA, EHR, EMR, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN, Stimulus
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: ARRA, EHR, EMR, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, NHIN
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: ARRA, EHR, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, NHIN, Stimulus
