Wes Rishel

After reading Health 2.0: Take a Lesson From the Web Peter Basch asked me “exactly what a Provider Health Internet looks like – [and what are] the implications of using it vs. a RHIO / NHIN?” The question has special piquancy because users of EHRs will need to show certain kinds of interoperability to meet [...]

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In A Singular Opportunity for Health Interoperability I summarized a metaphor based on the Web standards HTTP and HTML which was “get HL7 and other SDOs out of the HTTP business.”
Metaphors gain their power from poetic ambiguity. One of the great things about a metaphor is that it can rally so many folks to believe [...]

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Healthcare SDOs should “get out of the HTTP business, but we still need transport standards.

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High hopes the Health Internet will solve four challenges and take a lesson from the last disruptive technology in health interoperability: the fax machine.

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Harvard’s plan to mine vaccination and claim data to detect adverse effect is important, despite big problems.

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Negative articles continue to appear implying that incentives in the Stimulus to roll out EHR will lead to a disastrous failure. Here we want to note that there are numerous examples of successful deployment in EHRs and to identify some of the ingredients of those successes.
EHRs today are far from highly-tuned instruments anticipating and meeting the [...]

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The recent Wall Street Journal and Washington Post pieces critical of stimulating adoption of EHRs are a grand example of the slide to the Trough of Disillusionment in the Gartner Hype Cycle. After being overly high on a new concept the press goes negative, focusing on the early failures rather than early successes.
We know of [...]

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Congrats to John Halamka on nailing the specifics of the eCW/Dell/Sam’s Club deal in his blog entry Electronic Health Records from Wal-mart. He got a more complete picture than any reporter or analyst I have read, including me.
I wonder, though, if his endorsement is a bit sanguine about the implementation process and the formation of e-enabled [...]

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