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 | July 17, 2011 | 3 Comments
The most important step is to achieve transparency about the comparative usability of products based on computable usability measures — NOT to regulate the user interfaces of EHRs.
Category: Healthcare Providers Tags: ARRA, EHR, usability
by Wes Rishel | May 31, 2011 | 1 Comment
The proposed HIPAA rule for accounting for disclosures from “EHRs” potentially implicates a dozen or more departmental systems per hospital that are not routinely certified as EHRs. With a possible enforcement deadline as early as June 2012, hospitals should craft data-driven comments to the NPRM.
Category: Healthcare Providers Tags: ARRA, EHR, HIPAA
by Wes Rishel | September 22, 2010 | 2 Comments
In a time when “caterwaulablogging” is as routine as waving howdy, I pledge to express my concerns about NIEM with as little verbal plumage as I can muster, in hopes that I am contributing to the evolution of these ideas towards the vision I set out two years ago.
Category: Applications Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN, NHIN Direct, Stimulus
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 | 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 [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health IT, Healthcare Interoperability, HIE, Meaningful Use, NHIN, NHIN Direct, RESTful Web Services, simple interop, UDDI
by Wes Rishel | March 14, 2010 | 12 Comments
Recently a person organizing a state’s HIE effort reported a hospital CIO saying, “why do I need your complex HIE when can have NHIN Direct?” This question gets to the heart of the confusion that some states or stated designated entities are experiencing with the introduction of NHIN Direct into the mix. I wrote this fellow [...]
Category: Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, HIE, Meaningful Use, NHIN, NHIN Direct
by Wes Rishel | January 30, 2010 | 4 Comments
If anyone things that nerds are unemotional, they need only go to a standards meeting. The notion of using web services to support reliable computer-to-computer messaging gets as much passion from the partly-informed as did the demotion of Pluto. After looking into this I confess that I have added to the confusion. As I have learned, a [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, Web services
by Wes Rishel | January 24, 2010 | 19 Comments
Sir Blogsalot has written quite a bit about the idea of simple interoperation, each post developing some aspect of the idea. Recently I combined all the ideas in a single PPT presentation. You can download it by clicking here to leave the Gartner Blogs web site and then clicking on the link to the presentation. [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, disease registry, Health Internet, Health Record Bank, Healthcare Interoperability, HIE, Meaningful Use, personal health record, PHR, Stimulus
