Wes Rishel

A member of the Gartner Blog Network

Entries Categorized as 'Vertical Industries'


We Need To Unboggle Health Information Queries

by Wes Rishel  |  February 12, 2013  |  6 Comments

Directed exchange is the model for 97% of HIE traffic. We need better options for query.

6 Comments »

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

A Much-Needed Nudge for Stage 2 Interoperability

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.

3 Comments »

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

EHRs and Billing Fraud. Guest Blog from Don Simborg.

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.

1 Comment »

Category: Healthcare Providers     Tags: , ,

Mostashari Rant on “Walled Gardens”

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.

1 Comment »

Category: Healthcare Providers Uncategorized     Tags: , , ,

Gawande: Big Medicine Should Be More Like the Cheesecake Factory

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.

1 Comment »

Category: Healthcare Providers Vertical Industries     Tags: , ,

+4 For Micky Tripathi on HIE

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

1 Comment »

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

The Biggest Healthcare Interop Issue: Frozen Interface Syndrome

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.”

7 Comments »

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

A New Approach to Clinical Interop in Stage 2 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.

4 Comments »

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

“Direct” is Much More than Email

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.

1 Comment »

Category: Interoperability Vertical Industries     Tags: , , , ,

OK, XML Schema Does Earn its Keep in HL7

by Wes Rishel  |  December 31, 2011  |  2 Comments

For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.

2 Comments »

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