Wes Rishel

A member of the Gartner Blog Network

Entries Tagged as 'EHR'


We Need To Unboggle Health Information Queries

by Wes Rishel  |  February 12, 2013  |  6 Comments

Directed exchange is the model for 97% of HIE traffic. We need better options for query.

6 Comments »

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

A Much-Needed Nudge for Stage 2 Interoperability

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.

3 Comments »

Category: Interoperability Vertical Industries     Tags: , , , , ,

EHRs and Billing Fraud. Guest Blog from Don Simborg.

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.

1 Comment »

Category: Healthcare Providers     Tags: , ,

The Biggest Healthcare Interop Issue: Frozen Interface Syndrome

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.”

7 Comments »

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

A New Approach to Clinical Interop in Stage 2 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.

4 Comments »

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

“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.

1 Comment »

Category: Interoperability Vertical Industries     Tags: , , , ,

ELINCS: Doing Lab Orders Standards Right

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 [...]

3 Comments »

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

Three Steps to US Semantic Interop

by Wes Rishel  |  November 20, 2011  |  Comments Off

What beyond the Consolidated CDA is needed for meaningful use, stage 2?

Comments Off

Category: Uncategorized     Tags: , , ,

Gartner Symposium: 10,000 of My Closest Friends

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 [...]

Comments Off

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

Can Consumer Friendly Terms Ever be Standardized?

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.

2 Comments »

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