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 | 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 | 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
by Wes Rishel | December 28, 2011 | 6 Comments
Although some ascribe sainted status to XML schema, it doesn’t provide enough value to compensate for the practical difficulties it creates, not the least of which is blocking an evolution towards JSON.
Category: Healthcare Providers Interoperability Vertical Industries Tags: Health Information Exchange, Healthcare Interoperability, HIE, HL7, JSON, XML, XML Schema
by Wes Rishel | December 13, 2011 | 3 Comments
The Clinical Information Modeling Initiative (CIMI) is a small group of volunteers that are working to consolidate the detailed clinical models of various groups in a way that could be adapted to meet the needs of health IT standards groups.
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: clinical decision support, Health Information Exchange, Health IT, Healthcare Interoperability
