Wes Rishel

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Entries Tagged as 'NHIN Direct'


Can Consumer Friendly Terms Ever be Standardized?

by Wes Rishel  |  September 11, 2011  |  2 Comments

Creating a consumer-friendly taxonomy of the types of services provided by healthcare practices is, at best, expensive and more likely an oxymoronic challenge. Entry Level Provider Directories should solicit plain-English descriptions directly from the practices.

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

Something Really Different at the HIMSS Interop Showcase

by Wes Rishel  |  February 18, 2011  |  Comments Off

The Direct Project skips the “valley of we could do” to debut in the HIMSS Interoperability Showcase on the “plateau of “we are doing.”

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

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

FAQ: NHIN Direct v. Meaningful Use Certification Requirements

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 […]

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