Wes Rishel

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Entries Tagged as 'EMR'


Usability: No Stupid Questions

by Wes Rishel  |  August 1, 2010  |  11 Comments

Dick Taylor, the CMIO at Providence Health and Services Oregon Region has been speaking to this principle of usability for some time. “No Stupid Questions: remember why your clinical users came to work today, and honor their needs.” Until recently I had been filing this under “obvious but impractical.” Recently I had a chance to […]

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

NHIN Direct: Response to Comment on Vendor Positions

by Wes Rishel  |  June 17, 2010  |  1 Comment

Today Anand Shroff replied to my prior post with some very provoking questions. I have added emphasis in quoting his reply. Wes – are you detecting a split between EMR vendors and HIE vendors? From where I sit, the HIE vendors should be fairly neutral about what gets picked, as long as there is a single […]

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Simple Interop Gets Respectable: More News at HIMSS

by Wes Rishel  |  February 26, 2010  |  1 Comment

Many people have contacted me about getting started with Simple Interop. I have been lining up some Web resources to host a series of “birds of a feather” discussions. The goal was to encourage groups to form up and try it. ONC has followed this topic and offered many favorable comments. As it works out they […]

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

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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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: 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: , , , , , , ,

Simple Interop: How To Go About It

by Wes Rishel  |  December 13, 2009  |  4 Comments

Simple Interop: My Boggle-Busting Goal recapped the rationale for this “Simple Interop” thread. In On eBay, the Fax and Healthcare Interop I turned my own attitude around about that oft-deprecated bedrock of healthcare interoperability, the fax machine. Specifically I pointed out fax it is a hard technology to beat when you consider ubiquity and simplicity. […]

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