Wes Rishel

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Entries Tagged as 'EHR'


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 [...]

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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?

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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 [...]

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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.

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

Lessons From the Putative Failure of HL7 V3

by Wes Rishel  |  August 16, 2011  |  4 Comments

Recent blogs to the contrary, HL7 V3 has been a limited success, particularly with CDA documents. In taking up a Fresh Look, HL7 must consider the differences between CDA and V3 messaging and learn some important lessons.

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Category: Healthcare Providers Interoperability     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.

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Category: Healthcare Providers     Tags: , ,

Send the Questions to the Data

by Wes Rishel  |  July 7, 2011  |  10 Comments

We all know why distributed query “can’t work.” OTOH, things are only impossible until they’re not. It’s time to decide if we are approaching a cusp of possibility. We have new resources (more EHRS, a fundamental secure communications infrastructure and standard coding systems in support of meaningful use requirements). It is time to assemble a group of users and vendors willing to look at this issue intensely but pragmatically.

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Category: Healthcare Providers Interoperability Vertical Industries     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: , ,

Simple Provider Directories for Simple Interop

by Wes Rishel  |  May 27, 2011  |  5 Comments

Ideas about provider directories to support The Direct Project are getting quite complex. Here is an approach that matches Direct itself for simplicity and the potential for rapid completion.

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

PCAST Opportunity: Documents vs. “Atomic Data Elements”

by Wes Rishel  |  February 13, 2011  |  22 Comments

The PCAST report is an opportunity to redirect ONC resources to meets the short term goals associated with the HITECH, support more nimble development of standards for clinical data that are less arcane, and set a long-term direction that enables more innovative use of IT in healthcare. Here is what ONC should do.

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