Wes Rishel

A member of the Gartner Blog Network

Entries Tagged as 'Health Information Exchange'


ONC Moves on Sending Questions to the Data

by Wes Rishel  |  July 26, 2011  |  2 Comments

ONC Moves on Sending Questions to the Data

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

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: , , , , , , , ,

On The Direct Project, PCAST and Ultra Large Systems

by Wes Rishel  |  February 7, 2011  |  1 Comment

We are pleased that Aneesh Chopra, blogging from the White House, recognized the early contribution of my blog in setting the direction that became the basis for The Direct Project. The Direct Project set a new speed record, going from a basic idea to actual production use for exchanging healthcare information in 11 months.

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

PCAST and Clarke’s Third Law

by Wes Rishel  |  December 21, 2010  |  1 Comment

The converse of Clarke’s third Law is also true, “any magic is indistinguishable from sufficiently advanced technology.” … The PCAST Report represents a canny understanding of the ability of the Internet to facilitate disruptive innovation … What evidence can CMS and ONC use to fufill its regulatory duties by balancing new vision with existing initiatives.

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

Surescripts Announcement Confirms Simple Interop Incremental Approach

by Wes Rishel  |  October 28, 2010  |  Comments Off

Our feeling was that the simple Interop would attract companies that would start up without grants and creatively find value propositions to repay their investment. This notion of enabling free enterprise seems to have paid off.

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

retweet: WOO HOO! #NHINDirect wins @InformationWeek 500 Gov Innovators Award

by Wes Rishel  |  September 24, 2010  |  Comments Off

All award programs are hooey — except when something you care about wins the award. I am happy to be associated with NHIN direct and my hat’s off to four key people who are showing us how to use the Internet to advance standards development.

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

NHIN Direct and Strange Bedfellows

by Wes Rishel  |  June 13, 2010  |  11 Comments

Sean Nolan’s blog highlights that NHIN Direct has stumbled on a “tough” decision. We didn’t come to agreement on the backbone protocol despite an absolutely outstanding process for increasing understanding as opposed to so many meetings where the opposite of speaking usually is not “listening” but “waiting to speak.” Sean characterized the split in the [...]

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

NHIN Direct v. HIEs: Competitors or Collaborators

by Wes Rishel  |  March 14, 2010  |  12 Comments

Recently a person organizing a state’s HIE effort reported a hospital CIO saying, “why do I need your complex HIE when can have NHIN Direct?” This question gets to the heart of the confusion that some states or stated designated entities are experiencing with the introduction of NHIN Direct into the mix. I wrote this fellow [...]

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

Web Services: What’s In a Name?

by Wes Rishel  |  January 30, 2010  |  4 Comments

If anyone things that nerds are unemotional, they need only go to a standards meeting. The notion of using web services to support reliable computer-to-computer messaging gets as much passion from the partly-informed as did the demotion of Pluto. After looking into this I confess that I have added to the confusion. As I have learned, a [...]

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