Wes Rishel

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Entries Tagged as 'ARRA'


More on Humboldt Country EHRs and Interop

by Wes Rishel  |  January 16, 2010  |  Comments Off

After publishing “It Takes a Region:” Progress Without EHRs I received an email from Alan Glaseroff updating me on the current state of the chronic disease efforts and the proliferation of EHRs, which is now up to 41% by physician count. With his permission I am including portions of his email here: We did use [...]

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

Simple Interop: Issues Associated with Automatic Processing

by Wes Rishel  |  January 4, 2010  |  4 Comments

In Simple Interop: Use Cases we have made a somewhat unorthodox proposition, to support mixed communication between people and automatic computer processing programs. We have done so because of the issues raised in Rant on Heath Information Technology Asynchrony . This proposition entails solving some issues. For example, what if The email is never delivered [...]

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

Simple Interop: The Payload

by Wes Rishel  |  January 4, 2010  |  1 Comment

In Simple Interop: Use Cases we set the challenge of communicating among people and Health IT systems in a manner that does not create a “walled community” where all those that practice with EHRs and HIEs have no ability to use the Internet to communicate with those that don’t. The biggest challenge in such a [...]

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

Simple Interop: Use Cases

by Wes Rishel  |  January 4, 2010  |  4 Comments

This post zeroes in on exactly why the simple interop approach is important. It does so by listing a number of use cases. They illustrate the issues of getting to interoperability while an industry is in transition – and are industries ever not in transition? We are mindful of the specific kinds of interoperability required [...]

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

Rant on Heath Information Technology Asynchrony

by Wes Rishel  |  January 2, 2010  |  8 Comments

Here is some pseudo XML. <joke style=”jocular, but with a purpose”>There are these two young fish swimming along and they happen to meet an older fish swimming the other way, who nods at them and says “Morning, boys. How’s the water?” And the two young fish swim on for a bit, and then eventually one [...]

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

Simple Interop: the PHR

by Wes Rishel  |  December 31, 2009  |  4 Comments

This post seeks not to define the full scope of interactions of a PHR but simply to define a simple connection between PHRs and other health IT systems. We make two claims for this approach. (1) it greatly simplifies the roll-out of connections between PHRs and other healthcare IT systems, thus accelerating the roll-out of [...]

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

Simple Interop: Definitions

by Wes Rishel  |  December 30, 2009  |  2 Comments

There are many definitions to certain common terms associated with healthcare information exchange. These are definitions that I am using in preparing the “simple interop” series of posts. These definitions will not necessarily be suitable for other purposes and are not necessarily consistent with the other sources, including Gartner research notes. Health domain name a [...]

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Simple Interop: A Post-Holiday Review

by Wes Rishel  |  December 28, 2009  |  Comments Off

Like most of us, I have been enjoying holidays with family. My computational efforts have been confined to bringing the awesome processing power of a Canon 7D DSLR and Adobe Lightroom to bear on snapshots of grandchildren, ages 3 and 6, opening presents. (Just a hint of grandparental pride: it was a delight to see [...]

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Simple Interop: Why We Don’t Seek a Top Level Domain Name

by Wes Rishel  |  December 20, 2009  |  3 Comments

Since Simple Interop: The Health Internet Node was posted there has been a very thoughtful thread on the notion of having a top level domain (TLD) for healthcare. In the original post I thought I was pretty clear that we did not think this is a good idea, but in a separate posting I can [...]

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

Simple Interop: The Health Internet Node

by Wes Rishel  |  December 15, 2009  |  20 Comments

In Simple Interop: How To Go About It I talked about a simple interop model. Today’ post is a proposal for how to exploit the power of the Internet to the max while adding adequate security. McCallie and I offer it to all those who would listen. The diagram at the end of this post [...]

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