by Wes Rishel | February 12, 2013 | 6 Comments
Directed exchange is the model for 97% of HIE traffic. We need better options for query.
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: EHR, Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use
by Wes Rishel | January 6, 2013 | 3 Comments
HL7 participants have identified a barrier to interoperability in C-CDA and conceived a response. It is urgent that HL7 leadership and ONC ensure that their are ideas are taken up immediately.
Category: Interoperability Vertical Industries Tags: C-CDA, EHR, Health Information Exchange, Healthcare Interoperability, HL7, Meaningful Use
by Wes Rishel | October 2, 2012 | 1 Comment
EHRs have had a bad week. DHHS Secretary Sebelius and Attorney General Holder sent a letter to the major hospital provider organizations threatening to crack down on EHR fraud. A New York Times editorial decried the EHR abuse. A full hour on National Public Radio was devoted to this problem.
Category: Healthcare Providers Tags: EHR, healthcare fraud, Meaningful Use
by Wes Rishel | August 24, 2012 | 1 Comment
In the end, are ONC and CMS trying to stop the tides by fighting walled gardens of interoperability based on vendor products? I don’t think so.
Category: Healthcare Providers Uncategorized Tags: Health Information Exchange, HIE, Meaningful Use, Stage 2
by Wes Rishel | August 10, 2012 | 1 Comment
Gawande’s chose the Cheesecake Factory as a metaphor to communicate the advantages of “big medicine.” It was a brilliant way to get right up in the face of “traditional medicine” with this important lesson.
Category: Healthcare Providers Vertical Industries Tags: accountable care organization, ACO, reducing variation
by Wes Rishel | June 27, 2012 | 1 Comment
+1 fo Micky for calling out the new PPT-ware about a completely architected “eco-system” as wrong-headed at a time when so little is known about the demands of accountable care
Category: Healthcare Providers Interoperability Vertical Industries Tags: accountable care, ACO, Health Information Exchange, Healthcare Interoperability, HIE
by Wes Rishel | April 13, 2012 | 7 Comments
ONC and CMS run the risk of creating interoperability mandates that make upgrades nearly impossible. They need to employ bilateral asynchronous cutover to avoid “frozen interface syndrome.”
Category: Healthcare Providers Interoperability Vertical Industries Tags: Direct Project, EHR, Health Information Exchange, Healthcare Interoperability, Meaningful Use
by Wes Rishel | March 19, 2012 | 4 Comments
The meaningful use stage 2 NPRM standards regulation cites the HL7 Consolidated CDA. The fine points of the citation signals a major shift in interoperability policy.
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: C32, CCD, CCDA, Consolidated Clinical Document Architecture, Continuity of Care Document, EHR, Health Information Exchange, Health IT, Healthcare Interoperability, Healthcare Providers, HIE, HL7, IHE, Meaningful Use
by Wes Rishel | March 6, 2012 | 1 Comment
Direct is not just email; it supports sending structured data from one system to another. The direct glass may only be half full, but you can die of thirst waiting for half-empty glasses to be filled.
Category: Interoperability Vertical Industries Tags: ARRA, EHR, Healthcare Interoperability, Meaningful Use, simple interop
by Wes Rishel | December 31, 2011 | 2 Comments
For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.
Category: Healthcare Providers Interoperability Vertical Industries Tags: Health Information Exchange, Health Internet, HIE, HL7, JSON, XML Schema
