Wes Rishel

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Entries Tagged as 'ARRA'

“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.

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Category: Interoperability Vertical Industries     Tags: , , , ,

Usability Standards for EHRs

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: , ,

Uh-Oh … Proposed Rule for HIPAA vs. Departmental Systems

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.

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Category: Healthcare Providers     Tags: , ,

NIEM: Be Careful What You Wish For

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: , , , , , , , ,

FAQ: NHIN Direct v. Meaningful Use Certification Requirements

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 […]

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

NHIN Direct: Response to Comment on Vendor Positions

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 […]

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

NHIN Direct and Strange Bedfellows

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: , , , , , , , , , , ,

NHIN Direct v. HIEs: Competitors or Collaborators

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: , , , , , , ,

Web Services: What’s In a Name?

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: , , , , , , , , ,

Simple Interop: A PowerPoint Presentation

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: , , , , , , , , ,