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 | 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.
Category: Interoperability Vertical Industries Tags: C-CDA, EHR, Health Information Exchange, Healthcare Interoperability, HL7, 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 | 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 | 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 | December 8, 2011 | 3 Comments
On Wednesday the California Healthcare Foundation published Request for Proposals: Using Electronic Data Standards to Communicate Laboratory Orders. CHCF actually lives up to an important but seldom-followed precept of standards: producing a spec is only the start of getting a working standard. Someone has to nurse it through initial implementations, reflect on the lessons learned [...]
Category: Healthcare Providers Interoperability Uncategorized Tags: EHR, ELINCS, Health Internet, Healthcare Interoperability, Healthcare Providers, HIE, HL7
by Wes Rishel | November 20, 2011 | Comments Off
What beyond the Consolidated CDA is needed for meaningful use, stage 2?
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Category: Uncategorized Tags: EHR, Health Information Exchange, Healthcare Interoperability, Meaningful Use
by Wes Rishel | September 26, 2011 | Comments Off
Recently I have been peer-reviewing my colleagues’ presentations for Gartner Symposium 2011. Those of you who have attended know that it mostly dedicated to IT in general, attended by roughly 10,000 CIOs and their direct reports across all industries and government. Sunday October 16 in Orlando we are doing a track specifically for healthcare providers [...]
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Category: Healthcare Providers Interoperability Vertical Industries Tags: analytics, business intelligence, EHR, Health Information Exchange, health plans, Healthcare Interoperability, Healthcare Providers
by Wes Rishel | September 11, 2011 | 2 Comments
Creating a consumer-friendly taxonomy of the types of services provided by healthcare practices is, at best, expensive and more likely an oxymoronic challenge. Entry Level Provider Directories should solicit plain-English descriptions directly from the practices.
Category: Healthcare Providers Interoperability Tags: Direct Project, EHR, Health Information Exchange, Health IT, Healthcare Providers, NHIN Direct
