Wes Rishel

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Entries Tagged as 'Meaningful Use'


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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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: , , , , , , ,

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: , , , , , ,

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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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: , , , , ,

NIEM: Be Careful What You Wish For

by Wes Rishel  |  September 22, 2010  |  2 Comments

In a time when “caterwaulablogging” is as routine as waving howdy, I pledge to express my concerns about NIEM with as little verbal plumage as I can muster, in hopes that I am contributing to the evolution of these ideas towards the vision I set out two years ago.

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Avoiding “Stupid Questions” in CDS.

by Wes Rishel  |  August 3, 2010  |  1 Comment

I received an email from Jonathan Perlin, commenting on the yesterday’s post on CDS and “Stupid Questions”. It was based on his pioneering experience with CDS, has helped me to better understand ways in which an EHR can assure that CDS does not devolve to being “stupid questions.” I am fatiguing of hearing “alert fatigue” [...]

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Category: Healthcare Providers Uncategorized Vertical Industries     Tags: , ,