Wes Rishel

A member of the Gartner Blog Network

Entries Tagged as 'HIE'


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.

Comments Off

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

Plug for Motorcycle Guy’s Map of CDA/XDS

by Wes Rishel  |  July 5, 2010  |  Comments Off

If you follow health IT standards and haven’t seen it, I recommend a look Keith Boone’s Where in the World is CDA and XDS. This is a sexy presentation and a  great use of simple and effective collaboration. More important, it is a massive job to get this data and keep it up to date. [...]

Comments Off

Category: Healthcare Providers 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 [...]

1 Comment »

Category: Healthcare Providers Interoperability Uncategorized     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 [...]

11 Comments »

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 [...]

12 Comments »

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 [...]

4 Comments »

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

Simple Interop: A PowerPoint Presentation

by Wes Rishel  |  January 24, 2010  |  19 Comments

Sir Blogsalot has written quite a bit about the idea of simple interoperation, each post developing some aspect of the idea. Recently I combined all the ideas in a single PPT presentation. You can download it by clicking here to leave the Gartner Blogs web site and then clicking on the link to the presentation. [...]

19 Comments »

Category: Healthcare Providers 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 [...]

Comments Off

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

Simple Interop: Issues Associated with Automatic Processing

by Wes Rishel  |  January 4, 2010  |  4 Comments

In Simple Interop: Use Cases we have made a somewhat unorthodox proposition, to support mixed communication between people and automatic computer processing programs. We have done so because of the issues raised in Rant on Heath Information Technology Asynchrony . This proposition entails solving some issues. For example, what if The email is never delivered [...]

4 Comments »

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

Simple Interop: The Payload

by Wes Rishel  |  January 4, 2010  |  1 Comment

In Simple Interop: Use Cases we set the challenge of communicating among people and Health IT systems in a manner that does not create a “walled community” where all those that practice with EHRs and HIEs have no ability to use the Internet to communicate with those that don’t. The biggest challenge in such a [...]

1 Comment »

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