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: Health Information Exchange, Health Internet, Healthcare Interoperability, HIE, Meaningful Use, NHIN Direct
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.
Category: Applications Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN, NHIN Direct, Stimulus
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” [...]
Category: Healthcare Providers Uncategorized Vertical Industries Tags: EHR, Healthcare Interoperability, Meaningful Use
by Wes Rishel | August 2, 2010 | 2 Comments
The commentors on Usability: No Stupid Questions have raised the most important question of all … when is the “no stupid questions” rule an aid to improving the functional design of an EHR and when might it be used to the detriment of patients.The concern is that physicians who are resistant to CDS would equate [...]
Category: Healthcare Providers Vertical Industries Tags: clinical decision support, EHR, Meaningful Use
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. [...]
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Category: Healthcare Providers Vertical Industries Tags: Healthcare Interoperability, Healthcare Providers, HIE, IHE, Meaningful Use, Stimulus
by Wes Rishel | June 25, 2010 | 1 Comment
Dear Abby, The question is how SMTP as the preferred transport mechanism reconciles with the EHR certification criterion (in the IFR) that requires certified EHRs to use either SOAP or REST for HIE (i.e., §170.202 Transport standards for exchanging electronic health information). Just sign me “Puzzled in Peoria” Dear P in P, First, let’s be [...]
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: ARRA, EHR, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN Direct
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, EMR, Healthcare Interoperability, Healthcare Providers, Healthcare Reform, HIE, Meaningful Use, NHIN, NHIN Direct, Stimulus
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 [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health IT, Healthcare Interoperability, HIE, Meaningful Use, NHIN, NHIN Direct, RESTful Web Services, simple interop, UDDI
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 [...]
Category: Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, HIE, Meaningful Use, NHIN, NHIN Direct
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 [...]
Category: Interoperability Vertical Industries Tags: EHR, EMR, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use, open source, Stimulus
